* Please note, when you submit your form, you will receive a separate invoice for the fees.

We do not take payment online at the moment.*

MULTI ACTIVITY SCHOOL HOLIDAY CLUBS

childs First Name

childs surname

Email

childs Date of Birth

Does your child have any injuries/allergies? Medicine bags need to be clearly labeled and handed directly to teacher with clear instruction

No

Yes

emergency contact details? allergy details

What preschool/school does your child attend and year group?

For insurance purposes please state that you agree the following: I, the Parent or Gaurdian of the child/ren named on this form, is aware of and responsible for the risks when doing Yoga & Dance. I agree that my child is well and suitable for the class/event and I understand that I am responsible for my child’s actions and involvement when attending 'Tilly’s Dance & Yoga Factory’s classes/workshops/events. I agree to the above

Photo Consent? (Photos & Videos May Be Used In Local Press, Official Posters, Flyers And Websites Associated With Tilly's Dance & Yoga Factory)

yes photos

no photos

Parents name

Child 2 name

Child 2 DOB

is your child allowed a glitter tattoo ?

yes

no

Thanks for submitting we will be in touch via email soon!

Tilly's Dance & Yoga Factory

Established 2015

* Please note, when you submit your form, you will receive a separate invoice for the fees.

We do not take payment online at the moment.*

MULTI ACTIVITY SCHOOL HOLIDAY CLUBS

What to expect at our holiday camps at drop off and collection

Terms and Conditions.

* Please note, when you submit your form, you will receive a separate invoice for the fees. We do not take payment online at the moment.*

MULTI ACTIVITY SCHOOL HOLIDAY CLUBS

What to expect at our holiday camps at drop off and collection

Terms and Conditions.

* Please note, when you submit your form, you will receive a separate invoice for the fees.

We do not take payment online at the moment.*