REGISTRATION FORM
*
Please contact the school office prior to registration to check on the class availability.
Please fill
this section
, printed and return with the registration fee to reserve a place for your child.
Childs Full Name:
Parents Names:
/
Date of Birth:
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dd/mm/yyyy
Address:
Aditional
:
City:
Postal Code:
Tel:
Fax:
Mobile:
E-Mail Address:
Class:
_
Beginners Ballet
Adult Beginner Ballet
Pre-Primary Ballet
Pre-Primary
Primary
Primary +
Ballet I
Ballet II
Ballet III
Ballet IV
Pre-Elementary
Elementary
Senior Ball
Senior coaching
Jazz
Singing
Senior Jazz
Junior Jazz
Junior Tap
Middle tap
Senior Tap
Pointe
Studio:
_
Danceworks
Mercury
David Lloyd
College
St. Francis
Day
:
_
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Time:
_
9:00 - 10:30
9:15 - 10:00
9:15 - 10:15
10:00 - 10:50
10:15 - 11:00
10:15 - 11:30
10:30 - 11:15
11:00 - 12:30
11:15 - 12:15
11:30 - 11:45
12:15 - 1:15
12:30 - 1:15
1:15 - 2:15
3:00 - 3:45
4:00 - 4:45
4:00 - 4:50
4:00 - 5:40
4:15 - 5:05
4:45 - 6:00
5:00 - 6:15
5:00 - 6:00
5:00 - 6:30
5:15 - 6:15
6:00 - 7:00
6:15 - 7:15
6:30 - 7:30
Any known physical disabilities:
Registration Fee: £10 (non refundable)
Please note ½ term's notice or fees in lieu is required if you are withdrawing your child.
Please makes cheques payable to The West London School of Dance
with your child's name and class written on the back of the cheque
Press
to print this form.
DOWNLOADS
Registration Form
Junior Summer Dance Program Registration Form