Student Name*

Date of Birth*

Parent / Guardian Name (person responsible for payment of fees)*

Address

Contact Email*

Parent Mobile*

Student Mobile (over 12)

Classes (Choose either the Class Package OR Individual Classes)

Class Package

4 x Ballet (Open Class, Grade 7 or 8, Intermediate x 2), Pointe Class, Senior PBT, Senior Jazz, Senior Contemporary, Tap (Gold Medal or Gold Star and Bar), Senior Musical Theatre and Senior Acrobatic Arts (put grades in comments)

Individual Classes

Grade 7Grade 8Intermediate TuesdayIntermediate SaturdaySenior Open ClassSenior PBTSenior JazzSenior ContemporaryGold MedalGold Star and BarSenior Musical TheatreSenior Acrobatic Arts

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