BOOKING FORM IMPORTANT : In case of emergency, please tell us of any allergies or medication your child may have & complete contact tel.no.s below
NAME OF ATTENDEE :………………….........................…………………………………………….AGE:………...........………. CONTACT TEL NO:………………………………………….……. EMERGENCY TEL NO: …………………………..…….…...
ALLERGIES/MEDICATION………………………………………………………………………………........................................….….……………........
NAME OF ATTENDEE :………………….........................…………………………………………….AGE:………...........………. CONTACT TEL NO:………………………………………….……. EMERGENCY TEL NO: …………………………..…….…...
ALLERGIES/MEDICATION………………………………………………………………………………........................................….….…………….......
Please print another form if you have more attendees PARENT/GUARDIAN NAME: ………………………………………………...........SIGNATURE:……….….………………..........EMAIL ADDRESS - needed for booking confirmation :……………….…………….............................…………………...
WORKSHOPS for 4 -6 yrs
| Mini Mixtures | 26 August
| 10 - 11am
| Number of attendees…………… | @ £4 per person = | £................. |
WORKSHOPS for 6/7 - 13 yrs
| Summer Allsorts | 25 August | 10am - 1 pm | Number of attendees…………… | @ £12 per person = | £................. |
GRAND TOTAL £............................
Please return this form with your cheque payment (payable to Dance Fusion) to us (contact us for internet/telephone banking if preferred) by post, posting details available on request.
07973 559 158 - dancefusion@fsmail.net Thank you & I look forward to seeing you soon.
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