Trial Lesson Registration Form - Katharine Mitchell School of Dance

Trial Lesson Booking Form

Please complete and submit this form to register your child for a free trial lesson

Student Name *

First

Last

Student's Date of Birth *

Parent/Guardian Name *

First

Last

Relationship to Student *

Parent/Guardian Contact Telephone Number *

Parent/Guardian Contact Email *

Registration confirmation and communication will be sent to this email address

CLASSES - please select the trial lesson/s your child would like to attend *

Please refer to the School Timetable for days and times of classes

Date your child will be attending trial lesson *

If more than one lesson selected, please put the date of the first trial lesson to be attended