7) Easter Intensive & Holiday club - Move It Shake It Events

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Nuneaton Holiday Club

Step 1 of 3

Amount of Tickets- 3rd August(Required)

Ticket Price- 3rd August

Price:

Total

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Dance School(Required)

Name of Dancer attending(Required)

Dancers DOB(Required)

Does the dancer have any special educational needs (SEN) that we need to be aware of?(Required)

Does your child have any allergies?(Required)

Does your child take any medication?(Required)

Photo and Video Consent(Required)

Yes I consent to Photos and Video

2026 Summer Camp Nuneaton- 4th August

Step 1 of 3

Amount of Tickets- 4th August(Required)

Ticket Price- 4th August

Price:

Total

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Dance School(Required)

Name of Dancer attending(Required)

Dancers DOB(Required)

Does the dancer have any special educational needs (SEN) that we need to be aware of?(Required)

Does your child have any allergies?(Required)

Does your child take any medication?(Required)

Photo and Video Consent(Required)

Yes I consent to Photos and Video

2026 Summer Camp Nuneaton- 5th August

Step 1 of 3

Amount of Tickets- 5th August(Required)

Ticket Price- 5th August

Price:

Total

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Dance School(Required)

Name of Dancer attending(Required)

Dancers DOB(Required)

Does the dancer have any special educational needs (SEN) that we need to be aware of?(Required)

Does your child have any allergies?(Required)

Does your child take any medication?(Required)

Photo and Video Consent(Required)

Yes I consent to Photos and Video

2026 Summer Camp Nuneaton- 6th August

Step 1 of 3

Amount of Tickets- 6th August(Required)

Ticket Price- 6th August

Price:

Total

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Dance School(Required)

Name of Dancer attending(Required)

Dancers DOB(Required)

Does the dancer have any special educational needs (SEN) that we need to be aware of?(Required)

Does your child have any allergies?(Required)

Does your child take any medication?(Required)

Photo and Video Consent(Required)

Yes I consent to Photos and Video

2026 Summer Camp Nuneaton- 7th August

Step 1 of 3

Amount of Tickets- 7th August(Required)

Ticket Price- 7th August

Price:

Total

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Dance School(Required)

Name of Dancer attending(Required)

Dancers DOB(Required)

Does the dancer have any special educational needs (SEN) that we need to be aware of?(Required)

Does your child have any allergies?(Required)

Does your child take any medication?(Required)

Photo and Video Consent(Required)

Yes I consent to Photos and Video