⏱️ Tuesday, 15 July 2025
📍 Lithgow Anglican Church Hall, 4 Roy Street

Parents First & Last Name *

Phone *

Email *

Dancer 1 Full Name & DOB *

Dancer 2 Full Name & DOB

Dancer 3 Full Name & DOB

If you are booking for more than 3 students, Lithgow Academy of Dance will be in contact to confirm additional details.

I acknowledge that all tickets are non-refundable in the event my child is unable to attend. I have read and agree to the Terms & Conditions set by NA Dance Company.