Parent's contact details *

First Name

Last Name

Date of class *

the date of the class you would like to trial

MM

DD

YYYY

Child's Details *

First Name

Last Name

Child's Date of birth *

MM

DD

YYYY

Photo/Video Permission *

Are you happy for us to take photos or videos of your child during class? Some of these photos/videos may be used on our social media accounts.

YES

NO