September 2019 - Juni 2020
Kinderen

UURROOSTER

Name of the parent/legal guardian *

Name of the parent/legal guardian

First Name

Last Name

Phone Number *

Email Address *

Name of legal guardian/parent (2)

First Name

Last Name

Phone Number

Name of the child

First Name

Last Name

Birthdate of the child *

Birthdate of the child

MM

DD

YYYY

Age group of the child/teenager *

6 - 8 years

9 - 12 years

Address

Street *

House Number *

Zip *

City *

Country *

Choose your dance class *

Klassiek Ballet (6 - 9 jaar)

Musical kids (7 - 12 jaar)

Jazz (7 - 12 jaar)

Breakdance (6 -12 jaar)

Capoeira (6-12 jaar)

Latin American & Ballroom (6 - 15 jaar)

Choose the day of your class *

Woensdag

Vrijdag

How did you get to know about Shoonya Dance? *

Social Media

Summer Festivals

Flyers

Newsletter

Through Friends

Existing Student

Other

Please mention the festival/social media channel or other media channel that brought you here:

Privacy Policy *

You can read it at www.shoonyadance.com/privacy-policy

I agree that I have read and agree to the terms of the privacy policy on this website.

I would like to receive the monthly newsletter from Shoonya Dance Centre

Yes

No

September 2019 - Juni 2020Kinderen

UURROOSTER

September 2019 - Juni 2020
Kinderen