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REGISTRATION FORM FOR THE CHILDREN DANCE COURSES

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Tiny Tots Ballet for 3-5 yrs on Saturdays 1.30-2.15pm

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PrePr/Primary Ballet for 5-6 yrs on Saturdays, 2.15-3.00pm

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Grade 1 - Ballet for 7-10yrs on Mondays 5.15-6.15pm
Grade 2 - Ballet for 9-12 yrs on Mondays 6.20-7.20pm
Grade 7 - Ballet on Tuesdays 5.00-6.15pm
Grade 1 - extra trainnig Fridays 5.15-6.00pm
Grade 3-4 - Ballet for 10-15 yrs on Fridays 6.00-7.00pm
Grade 5-6 - Ballet for 10-15 yrs on Fridays 7.00-8.00pm

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Flamenco impr/adv 6-10 yrs on Thursdays, 4.30-5.15pm

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Stretching/strengthening for 6-15 yrs on Tuesdays 5.15-6.00pm
Pilates for 8-15 yrs on Fridays 7.00-7.45pm
Contemporary beginners for 6-10 yrs on Tuesdays 5.15-6.00pm
Contemporary impr/advanced for 8-15 yrs on Tuesdays 6.00-7.00pm

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Tiny Tots Ballet for 3-5 yrs on Saturdays 1.30-2.15pm

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Pre-primary Ballet for 5-6 yrs on Saturdays, 2.15-3.00pm

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Primary Ballet for 6-7 yrs on Thursdays, 4.30-5.15pm & on Saturdays, 3.00-3.45pm

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Grade 1 - Ballet for 7-10yrs on Mondays 5.15-6.15pm
Grade 1 - Ballet for 7-10yrs on Saturdays 3.45-4.30pm
Grade 2 - Ballet for 9-12 yrs on Mondays 6.20-7.20pm
Grade 3 + Grade 4 - Ballet for 10-15 yrs on Fridays 6.00-7.00pm
Grade 6 - Ballet for 10-15 yrs on Wednesdays 5.30-6.45pm

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Flamenco impr/adv 6-10 yrs on Thursdays, 4.30-5.15pm

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Zumba for Adults on Mondays at 9.15-10.00 & Tuesdays at 9.15-10.15pm

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Student Forename: *

Student Surname: *

Date of birth:*

YYYY

Address line 1: *

Address line 2:

Town: *

County:

Postcode: *

Medical information (allergies, asthma etc) leave empty for non

Parent's / Guardian details

Name: *

Surname: *

Contact number 1: *

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Email address: *

Permission for medical treatment:

In case of an accident or illness of my child while at school, I agree to allow the staff of Anna Davydova’s Dance School to obtain necessary medical attention.

I Agree with the permission for medical treatment

Disclaimer

For the safety of all children with allergies we require that no nut products are brought to ADDS dance classes and venues. I agree that ADDS can collect use and store information as set out in the data protection policy. I hereby release ADDS and their dance teachers from all claims, demands, losses and actions suits or proceedings, arising out of the participation of the applicant named in any facility at any location where the dance venues are being held other than proven negligence. I also agree to consent to the use by ADDS of the participant’s likeness (photos and video) for Publicity purposes.

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TIMETABLE

DAYS	CLASS	TIME	TEACHER	LOCATION
MONDAYS	Zumba for adults	9:15-10:00am	Anna	"Innovation Dance Studios Ealing" 96 Pitshanger Lane Ealing W5 1QX
	Grade 1 Ballet, 7-10 yrs old	5:15-6:15pm	Anna / Aneta	St Andrews Church Mount Park Rd, London W5 2RS
	Grade 2 Ballet, 9-12 yrs old	6:20-7:20pm	Anna / Aneta	St Andrews Church Mount Park Rd, London W5 2RS
TUESDAYS	Zumba for adults	9:15-10:15am	Anna	"Innovation Dance Studios Ealing" 96 Pitshanger Lane Ealing W5 1QX
	Contemporary impr/advanced 8-15 yrs old	6.00-7:00pm	Daisy	St Andrews Church Mount Park Rd, London W5 2RS
	Stretching/Strengthening, 6-15 yrs old	5:15-6:00pm	Anna	St Andrews Church Mount Park Rd, London W5 2RS
WEDNESDAYS	Grade 6 Ballet, 10-15 yrs old	5.30-6.45pm	Anna	St Andrews Church Mount Park Rd, London W5 2RS
THURSDAYS	Primary Ballet, 6-7 yrs old	4:30-5:15pm	Anna / Aneta	St Andrews Church Mount Park Rd, London W5 2RS
	Flamenco impr/adv 6-10 yrs old	5:15-6.00pm	Anna	St Andrews Church Mount Park Rd, London W5 2RS
FRIDAYS	Grade 3-4 Ballet, 10-15 yrs old	6.00-7.00pm	Anna / Emily	St Andrews Church Mount Park Rd, London W5 2RS
	Pilates, 8-15 yrs old	7.00-7.45pm	Anna / Emily	St Andrews Church Mount Park Rd, London W5 2RS
SATURDAYS	Tiny Tots Ballet, 3-5 yrs old	1:30-2:15pm	Anna / Aneta	St Andrews Church Mount Park Rd, London W5 2RS
	Pre Primary Ballet, 5-6 yrs old	2:15-3:00pm	Anna / Aneta	St Andrews Church Mount Park Rd, London W5 2RS
	Primary Ballet, 6-7 yrs old	3.00-3.45pm	Anna / Aneta	St Andrews Church Mount Park Rd, London W5 2RS
	Grade 1 Ballet, 7-10 yrs old	3.45-4.30pm	Anna / Aneta	St Andrews Church Mount Park Rd, London W5 2RS

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How to Apply

Book Your Trial &/or

Enroll Your Child !

REGISTRATION FORM FOR THE CHILDREN DANCE COURSES

Parent's / Guardian details

Permission for medical treatment:

Disclaimer

________________

TIMETABLE

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