CONTACT | reigate-dance-studio

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First Name

Last Name

Child's Name

Email

Emergency contact no:

Child's Birthday

What class are you interested in? *

Junior Street Dance (age 5-10)

Girls Teen Street Dance (age 10-16)

Boys Teen Street Dance (age 10-16)

Junior Contemporary (age 5-10)

Teen Contemporary (age 10-16)

Mini Stage Stars (age 4-6)

Stage Stars (age 7-16)

Adult Class

How did you hear about us?

Facebook

Instagram

Through a friend

Google/Website

Poster/Flyer

Other

Does your child have any medical information that we need to know about?

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Thanks for submitting!

CHILDREN'S CLASSES LOCATED at:
VERY YOGA,
Focus House,
23-25 Bell St,
Reigate RH2 7AD

ZUMBA LOCATED
AT:
REIGATE PARISH SCHOOL

Reigate
RH2 7BY

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