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Trial Lesson Registration Form
Parents Forename and Surname: *
Email address: *
Student Forename and Surname: *
Students age:*
3
16
Medical information
(allergies, asthma etc) leave empty for non

Book Your Trial lesson

EMBS Application Form

Registration form for the children dance cource

The fee for the trial lesson 1 hour is £15.00, trial lesson 1,5 hours is £22.00. If you decide to join the group the payment will be deducted from the termly fee

Select your class:*
Student Forename and Surname: *
Date of birth:*
Students age:*
3
16
Address *
School
Medical information
(allergies, asthma etc) leave empty for non

Parent's / Guardian details

Name and surname: *
Contact number: *
Additional emergency contact: *
Email address: *
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