Elmesthorpe - Move It Shake It Events

Move It shake it

Step 1 of 2

Elmesthorpe Juniors (up to 10yrs) Term 3

(6 week course: 8th Jan, 15th Jan, 22nd Jan, 29th Jan, 5th Feb, 12th Feb)

Price:

(price includes 50p transaction fee per ticket)

Child's Name(Required)

First Last

Parent/ Guardian Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address City Postcode

Childs Date Of Birth

Does your child 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 Photo and Video

Unique ID

Total

Credit / Debit Card

Step 1 of 2

Elmesthorpe Seniors (over 10yrs) Term 3

(6 week course: 8th Jan, 15th Jan, 22nd Jan, 29th Jan, 5th Feb, 12th Feb)

Price:

(price includes 50p transaction fee per ticket)

Child's Name(Required)

First Last

Parent/ Guardian Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address City Postcode

Childs Date Of Birth

Does your child 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 Photo and Video

Unique ID

Total

Credit / Debit Card