JBS Dance Registration Form Please enable JavaScript in your browser to complete this form.Student's Full Name *FirstMiddleLastStudent's Date of Birth (Day/Month/Year) *Address *Postcode *Name of Parent or Guardian *FirstLastContact Telephone Number *Email *Any details regarding physical condition or known impedimentThis will be treated in confidence. Please note: Teachers have no medical training. They can only assist in giving medication. Parents of children with severely allergic conditions/asthma must remain in the building.Details and results of any examinations previously taken:Please choose classes required *Twinkle Toes (Ages 18 months - 3 years)Baby Ballerinas (Ages 3.5 - 5 years)Ballet - PrimaryBallet - Grades 1-VBallet - Senior/Vocational GradesTapModernJazzContemporaryLittle Lab (Ages 7 - 12 years)Dance Lab (13 years +)Acceptance *I AcceptI Do Not Accept You accept and acknowledge that fees are due prior to the first lesson of each term and a term's notice or the term's fees in full is a requirement in the event of withdrawal of any pupil from any class. By completing this application form, you accept the non refundable registration fee of £20 (via BACS) on acceptance of your application by JBS Dance.GDPR Agreement *I consent to JBS Dance storing my submitted information so that they can respond to my registration request.Submit
