BOOK YOUR TRIAL CLASS FOR R100

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Parent First Name *

Parent Surname *

Email *

Phone *

Dancer's Name *

Previous/Current Dance School

Dancer's Age *

Dancer's Date of Birth

Questions/comments:

Do you have another child to take to the dance class?

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Dancer’s First Name

Dancer's Date of Birth

[2nd] Child's Age Group

Ages 2-4

Ages 5-7

Ages 8-12

Ages 13+