Swish of the Curtain Application Form

Questions marked * must be completed

Child 1 name*

Child 1 Date of Birth*

Child 1*

MaleFemale

Child 2 name

Child 2 Date of Birth

Child 2*

MaleFemale

Parent/guardian name*

Address*

Postcode*

Telephone*

Mobile*

Email*

How did you hear about us?*

Other

I am interested in

ACTINGSINGINGBALLETJAZZSTREET DANCEBABY BALLETPRE-PERFORMERSMUSICAL THEATRETV/FILM AGENCY

I would like classes in the following areas: (please tick at least one box)

BOURNEMOUTHCHRISTCHURCHPOOLE SOUTHBOURNEWINTONRINGWOODNEW MILTON

I would like classes on the following days: (please tick at least one box)

MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAY

or Reset