for further information
call Katie Philpott on
01924 523735
07961 139298


REGISTRATION FORM

If you are interested in joining Katie Philpotts School of Dance please fill in your details below
along with the classes you, or your child is interested in.

Please fill in all your details, or your form can not be sent. If none, write 'none'.

Name
E-mail
Child's Name
D.O.B.
Age
Address
Telephone
Mobile
Emergency Contact Tel No.
Please state any Medical conditions relating to your child, ie asthma, allergies, heart condition etc.

Creative Movement and Dance (3 & 4 years)
ISTD Modern Theatre Dance (5 years +)
ISTD Ballet (5 years +)
ISTD Tap (5 years +)
Street Dance (5 years +)
ISTD Jazz Awards (10 years +)
  Adult Tap (Intermediate)
  Musical Theatre Juniors 6 - 9 yrs
  Musical Theatre Intermediates - 10 - 13 yrs
  Musical Theatre Seniors - 14+
   
  I have read and agree to the Privacy Policy
To verify please type dance here >
 


IMPORTANT: Points to Note

• All Classes are Subject to Availability
• Parents should be aware that there is no supervision for your children outside the designated class times.
• There will be open days at the end of each term where family and friends will be invited to watch class.

Thankyou for your attention to the these matters.

© Katie Philpott