Childs/Students Name:

Parent / Guardians Name:

Email:

Address:

Phone Number:

Date of Birth

Age

Days Child is Available:

Please tick which day/s child is available for classes.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Classes/Styles Interested in:

How experienced is your child?

No experience
1-2 years
2-5 years
5+ years

Has your child completed any RAD Ballet exams?

Yes No

If yes, please provide the year and level completed.

Additional Comments:

I am human.