Rolypoly Family Dance Classes!
Please make payment via INTERNET TRANSFER and take note of the PAYMENT DATE and TRANSACTION REFERENCE NUMBER before completing this form.

Kindly state your child's name in the comments/reference section during the transfer.

INTERNET TRANSFER DETAILS:

STAGEARTS ACADEMY PRIVATE LIMITED
DBS BANK
CURRENT ACCOUNT : 0239052673


Price:
Single Session: $25/session
(one adult + one child )

Season Pass: $110 for 5 classes.
(one adult + one child )

(Per additional child  : $10/session)
(Additional adults join free. If you need to bring more adults, write to us to check if there is space!)


Things to Note:
Recommended age is 2-5 years old. We encourage and support siblings to join in the fun by giving a huge discount for each sibling. Younger or older, why not dance together?
1. Children and grown-ups should be dressed in comfortable attire for active movement.
2. No prior dance experience needed.
3. For each family, there can be up to 3 participating grown-ups.
* Please note that this is not a drop-off programme. Grown-ups have to participate.


Replacement Classes for Season Pass Holders:
For Season Pass holders, replacement classes are only allowed at other venues during the same season.
Check with us on availability and locations : hello@rolypolyfamily.com, or go to www.rolypolyfamily.com / Facebook: @rolypolyfamily ) ($10/sibling will still apply per session)

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Email *
Child's Name *
Child's Date of Birth *
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Accompanying Adult's Name/ Relationship to Child *
Parent's Name *
Parent's Contact Number *
Classes *
(For Single Session) Preferred Date
No. of additional Children
No. of additional Adults
Transaction Reference Number *
Date of Payment *
MM
/
DD
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YYYY
Is there anything about your child or the accompanying adult that you would like us to know?
1) I hereby agree to keep staff, management, servants and organisers of this event fully indemnified against all claims, loss or damage whatsoever in respect of death, injury, accidents and/or disability arising from any cause in connection with the event or my participation and my child's participation therein. 2) The staff, management, servants and organisers of the event can contact me through phone and/or email when necessary.3) I am aware that photographs/ footages taken during the event may contain my child's and/or my image and that these photographs/ footages may be used on publicity material by the StageArts team and the RolyPoly Family team.                                                                             *
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A copy of your responses will be emailed to the address you provided.
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