Name(s) of parent(s)

Name(s) or student(s)

Address

Town & Postcode

Personal email

Telephone & emergency number(s) during classes

Date of Birth of Student (s)

Allergies, medical problems Learning or physical difficulties

Previous experience/Exams

How did you hear about Catherine Gill School of Ballet

What school does your child attend & what time does the school day finish

When would you ideally like to attend a trial class with a view to joining but without committing to the term

Preferred & alternative class choices

Impossible days due to work etc

My child will not be attending ballet tap or modern ltheatre classes at any other dance school