by 11 Feb for Half Term workshops
| PLEASE PRINT - - REQUEST A COPY - - TYPE DETAIL INTO AN EMAIL IF PREFERRED
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: …………………………..…….…...
PARENT/GUARDIAN NAME: ………………………………………………...........SIGNATURE:……….….……………….......... EMAIL ADDRESS - needed for booking confirmation :……………….…………….............................…………………... WORKSHOP TITLE DATE Number of
Attendees. Price
SUB TOTAL £............................ DISCOUNTS: one child taking : 2 workshops, £1 discount - 3 workshops £1.70 discount
4 workshops, £2.50 discount - 5 or more workshops, cheapest is free
please contact us if applying for family discount ANY DISCOUNT APPLIED £.............................. GRAND TOTAL £...................... Please print this form * or * copy & paste into word document * or * type detail into an email * or * contact us to receive a copy by email 07973 559 158 - dancefusion@fsmail.net then send the completed form
by email & request telephone/internet banking or paypal details to make payment by post contact us for posting details of where to send form & your cheque payment or by hand at any of our classes at the Small Civic Hall, York Rise, Orpington along with your cash payment (classes are Saturday mornings 10am - 1pm & Wednesdays 7.30 - 9.30pm ) cheque payment (payable to Dance Fusion) posting details available on request. 07973 559 158 - Thank you & I look forward to seeing you soon. |
