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Child's name

Child's age

Gender

Home address

Full address, post code

Full name (Parent/Guardian)

Phone number (Parent/Guardian)

Relationship to child

Email (Parent/Guardian)

PASSWORD for pickup

Please, provide a unique password that will be required during pickup.

Emergency Contact Name

Relationship to child

Emergency Phone Number

Alternative Phone Number

SEN Details (optional but helpful for us to tailor the experience)

Activities interested in:

Singing & performance

Dance

Musical Instruments

Availability:

Tuesdays

Thursdays

Classes are held from 17:00pm to 20:15pm. Please select your availability within these time slots.

How did you hear about us?

Additional comments/questions:

Donation

£10

£20

£30