Registration Form

Print out and complete this form or download and email form

Name:              …………………………………………………….……..............

Name to be entered on Certificates .........................................................................

Date of Birth:    …………………………………………………………...............

Address:           …………………………………………………………...............

                        …………………………………………………………................

                        …………………………………………………………................

Postcode:         …………………………………………………………................

Telephone:        …………………….........…Mobile:...………………………........

Email                 ......................................................................................................

Class applied for     …………………………………………………….................

Day & Time          ...…………………………………………...………...............

Any Special needs and/or medical information   ......................................................

    ..........................................................................................................................

Terms and Conditions

• A 15% administration charge will be added to fees paid after the first day of term.
• A full term's notice for the withdrawal of a pupil is required in writing or the following term's fee will have to be paid in lieu of notice.
  
• Cheques to be made payable to The Cremona School of Dance

Please Post to:

Diana Cremona

81 High Street,

Horsell,

Woking,

Surrey GU21 4UA

01483 851212    

   email: dianacremona@hotmail.com