Holiday Programme Dance Club Registration Form

Please fill in the below form to register your child for our holiday programme dance club

NAME

Male Female

CONTACT NUMBER

AGE

BIRTHDATE

EMAIL

ADDITIONAL INFORMATION

DANCE EXPERIENCE

AUTUMN DANCE CLUB (Please select)

Monday 10th April Tuesday 11th April Wednesday 12th April Thursday 13th April Friday 14th April Monday 17th April Tuesday 18th April Wednesday 19th April Thursday 20th April Friday 21st April

WINTER DANCE CLUB (Please select)

Monday 3rd July Tuesday 4th July Wednesday 5th July Thursday 6th July Friday 7th July Monday 10th July Tuesday 11th July Wednesday 12th July Thursday 13th July Friday 14th July

SPRING DANCE CLUB (Please select)

Monday 25th September Tuesday 26th September Wednesday 27th September Thursday 28th September Friday 29th September Monday 2nd October Tuesday 3rd October Wednesday 4th October Thursday 5th October Friday 6th October

Contact

0273552153 (9.30am - 9pm)
6 Sheffield Crescent, Burnside
admin@silhouettestudios.co.nz