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07783 138 348office@inspireacademyofdance.co.ukBOOK YOUR FREE TRIAL

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Inspire Academy of Dance

ISTD Dance School in Copthorne, Dorking and Horsham

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ABOUT US
INSPIRE DANCE STUDIO
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- BOOK YOUR FREE TRIAL
FOR CURRENT STUDENTS

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HOME
ABOUT US
INSPIRE DANCE STUDIO
WHAT WE DO
ENROL
CONTACT US
- BOOK YOUR FREE TRIAL
FOR CURRENT STUDENTS

HOLIDAY CAMP BOOKING FORM

All Camps below are at Inspire Dance Studio Copthorne.

Christmas Dance Workshops – Monday 21st December 2020 9am-12pm or 1pm-4pm – £25 per session per child.

Suitable for ages 4+. Spaces are limited but we if have enough interest we will look to open session on another day.

Holiday Camp Booking Form

Please confirm the Venue and Dates you wish to attend
All Camps are at Inspire Dance Studio Copthorne.Christmas Dance Workshops – Monday 21st December 2020 9am-12pmChristmas Dance Workshops – Monday 21st December 2020 1pm-4pm
Name of Child *
Child Date of Birth *
Are they a current student of Inspire Academy of Dance? *
YesNo
Parent / Guardian Name *
Home Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Contact Phone Number *The number to contact in case of an emergency.
Parent / Guardian Email *
Medical Information Please ensure that the medical information is completed in full. You may not be able to leave your child without this information.
Please give full details of any allergies, special needs, dietary restrictions, illness and anything else you feel relevant. *
I will notify Inspire School of any specific medication that may need to be administered to my child, and provide clear written instruction. *
Yes
I will inform the Inspire staff of any changes or updates to the information within this form in writing on arrival at the holiday School. *
Yes
Parental Consent
I consent to my child having their photo taken *
YesNo
I consent to my child playing outside. *
YesNo
I consent to my child receiving biscuits and juice. *
YesNo
GDPR The dance school may get in touch with you with regards to the holiday camp that you have signed up to.
Are you for us to get in touch with you about other holiday camps in the future. *
YesNo
Are you happy for us to get in touch with you in regards to other aspects of the dance school such as classes and events. *
YesNo
Payment Information Payment method - Account Number: 41434896 Sort Code: 40-24-37 - Reference HC and Childs Name (Payment due date - Will be stipulated on your invoice)

Verification

Please enter any two digits *Example: 12
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Contact Information

Email:
office@inspireacademyofdance.co.uk
Office hours:
Monday, Wednesday & Thursday 9.30am - 2.30pm
Telephone:
07783 138 348

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