Elmesthorpe - Move It Shake It Events

Move It shake it

Step 1 of 2

Elmesthorpe Juniors (up to 10yrs) Term 1

(7 week course)- 5th Nov, 12th Nov, 19th Nov, 26th Nov, 3rd Dec, 10th Dec, 17th Dec

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

Name of Class Teacher(Required)

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 (will not be able to attend comp without)(Required)

Yes I consent to Photo and Video

Unique ID

Total

Credit / Debit Card

Step 1 of 2

Elmesthorpe Seniors (over 10yrs) Term 1

(7 week course)- 5th Nov, 12th Nov, 19th Nov, 26th Nov, 3rd Dec, 10th Dec, 17th Dec

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

Name of Class Teacher(Required)

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 (will not be able to attend comp without)(Required)

Yes I consent to Photo and Video

Unique ID

Total

Credit / Debit Card