Elmesthorpe - Move It Shake It Events

Move It shake it

Step 1 of 2

Elmesthorpe Juniors (up to 10yrs) Term 1

(7 week course)- 3rd Sept, 10th Sept, 17th Sept, 24th Sept, 1st Oct, 8th Oct, 15th Oct

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)- 3rd Sept, 10th Sept, 17th Sept, 24th Sept, 1st Oct, 8th Oct, 15th Oct

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