Application Form

CHESTER CLASSES Application Form

Items marked with * are required - these classes are only for the CHESTER school

*Pupils Name:
*Pupils Address:
*Phone Number:
Mobile Number:
Email:
*Date Of Birth:
Any Medical Conditions (if yes please state)
*Classes you wish to attend: (click on class for further information)	Tiny Tots Ballet (2-4yrs) Pre-Primary & Primary Ballet Grade 2 - 3 RAD Ballet Grade 4 - 5 RAD Ballet Limering & Body Conditioning Senior Jazz Adult Beginners Ballet Senior Tap Advanced Show / Audition Prep Junior Street Dance Inters Street Dance Senior Street Dance
Emergency Contact Details :
*Parents Name and Address:
*Parents Phone Number:
Parents Mobile Number:

Alternative Contact Name and Address:
Alternative Contact Phone Number:

I am the parent / legal guardian of the above named student (if under 18yrs) and declare that the information given is true and correct: I agree

By pressing submit you understand that the information given will be processed by Dance In-Tension for the sole purpose of administration and will not be used under any other circumstances.