Dance Class Registration for 2 Many Dance Moves

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BECCI WHELAN DANCE ARTIST/ 2 MANY DANCE MOVES

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0877438250

*Students Name

*Date of Birth

Image of child

This is only important for new students to help us recognise them when they start

Image of Parent/Guardian permitted to collect

*Parent/Guardian Name

*Address

*Phone Number

2nd Phone Number

*Medical Conditions

*Class Selection

Monday Young Moves Age 6-7 (3.45-4.45pm)€110

Monday Solo Workshop Age 6-12 (4.45-5.30pm)€60

Monday JR Youth Dance Age 8-9 (5.30-6.30pm)€110

Wed JR Youth Dance Age 8-9 (3.45-4.45pm)€110

Wed Strength Stretch & Flex Age 8-12)(4.45-5.15pm)€60

Friday Tiny Tots Age 3-4 (3.30-4.15pm)€110

Friday Little Groovers Age 5 ( 4.30-5.15pm)€110

Friday Young moves Age 6-7 ( 5.30-6.30pm)€110

Sat Open Space Seniors Age 13+ (10.15-11am)€45

Sat Senior Youth Dance Age 13+ (11-12am)€110

Sat Senior Strength Stretch & Flex Age 13+ (12.15-12.45)€60

*Permission

Yes

No

I grant 2 Many Dance Moves and their project partners, representatives and employees the right to take audio recording, photographs and film my child during classes + productions

Signature

Class Registration

0877438250

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