JMDS REGISTRATION FORM
This form must be completed and returned to reserve a place as many classes at Berkhamsted and Hemel Hempstead do get full.   Please assume that a place has been given unless you hear from us.  
We look forward to meeting you.  

Branch: Berkhamsted    Woodhall Farm

Commencement Date: January February March April May September October November December   2002 2003 2004 2005

Pupil's name:
Address:
               

Tel:. Home:    Mobile:   Work:

Pupil's date of birth:

Classes required:
 Ballet Tap Modern National  
Drama Singing Adult Tap Street Jazz

Previous dance experience/exams:


Any medical condition to note: Yes    No
If 'yes' please give details:
 

I am also sending, by post, a non-refundable registration fee of £5 per class, which I understand will be deducted from the termly fee. I also understand that 1 month's notice in writing is required to cancel a class placing otherwise half a term's fees will be payable by me. 

 Name:     
Date: