Name of Student * Email Address * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Student DOB * Telephone Number * Alternative Tel number Which class or style would you like to book? Medical Conditions/Allergies Please discuss any medical conditions with your child's teacher Child's local education authority Durham Gateshead Newcastle Upon Tyne Northumberland Other How did you hear about us * How did you hear about us Recommendation Social media Google Workshop Leaflet Yell Other Please confirm below * I agree to keep the school updated with current emergency contact details and medical information Social Media * I agree to my child’s photo being used publicly on social media I agree I do not agree T & Cs * I accept I will be added to the email list and whatsapp broadcast list in order to receive communications from the dance school. I confirm I have read and agree to all school policies I confirm I have read and agree to all school policies, including giving 1 month's notice if the space is no longer required. * Option 1 Option 2 Thank you. Elaine will be in touch to confirm availability & start dates Or you can contact us viaPhone: 07909 336574Email: principal@elainepygall.co.uk Content Link Block Select a page and create a visual link to it. Learn more Reg Prudhoe