Dance Gems
Inspiring Dance
07968 942 479
ENROL ONTO A COURSE/CLASS
We are Delighted to Welcome You To Our World of Dance.

The First Step is to Complete the Registration Form Below, so that we can get you enrolled onto a Course/Class.

Select Course/Class:
ABOUT YOUR CHILD
First name:*
Surname:*
Date of Birth:*
Home Address:*
Town/City:*
County:
Postcode:*
Country:*
Home Phone:*
PARENT/GUARDIAN INFORMATION:
Primary Contact First name:*
Primary Contact Surname:*
Primary Contact Mobile Phone:*
Personal Email:*
Secondary Contact First name:
Secondary Contact Surname:
Secondary Contact Mobile Phone:
 
Terms & Conditions:
Agreement:* I have read, understood & agree to these Terms & Conditions

How did you find out
about Dance Gems?:

SEND MY REGISTRATION


When you have completed the form, check all your details thoroughly and click the 'Send My Registration' Button, and then follow any further instructions.

Looking Forward to Seeing You Soon.