* 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.*

TDF Terms and Conditions

WEEKLY SCHOOL CLASSES - TERM TIME ONLY

childs First Name

childs surname

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

Yes

emergency contact details? allergy details

WHAT YEAR GROUP IS YOUR CHILD IN?

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

Parents name

Child 2 name

Child 2 DOB

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

* 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.*

TDF Terms and Conditions

WEEKLY SCHOOL CLASSES - TERM TIME ONLY

* 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.*