JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Shire Elite January Dance Clinics Booking Form
$10 per session!
Please complete a new booking form for each athlete.
For any questions please do not hesitate to contact us!
E:
admin@shireelite.com.au
P: 1800 744 733
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full name of athlete you are booking in:
*
Your answer
Age of athlete you are booking in:
*
Your answer
Emergency contact name & phone number:
*
Your answer
Does this athlete have any allergies or other medical concerns that we should be aware of?
If yes, please provide details
Your answer
Which session's would you like to book in:
Tuesday 8th
Tuesday 15th
4 - 4:45pm: Dance Technique Headstart
4:45 - 5:30pm: Dance - Try it all!
5:30 - 6:15pm: Advanced Hip Hop
Tuesday 8th
Tuesday 15th
4 - 4:45pm: Dance Technique Headstart
4:45 - 5:30pm: Dance - Try it all!
5:30 - 6:15pm: Advanced Hip Hop
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
