Booking

CLASS BOOKING FORM

* Indicates required field

Parent Name *

First

Last

Child 1 Name *

Child 1 Date of Birth *

Child 2 Name *

Child 2 Date of Birth *

Comment *

Studio Location: GOLD COAST KIDS ACADEMY GOLD COAST CLEAR ISLAND WATERS, Fairway Drive QLD *

Studio Location: SEAGULLS DANCE CLUB TWEED HEADS WEST, Gollan Drive NSW *

SCHOOL PICK UP REQUIRED ( ST VINCENT'S ONLY)t Vincents only) *

School Name *

Email *

Phone Number *

Referred By: *

Please ensure you fill in our Terms & Conditions form upon enrolment

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Studio Located: Level 1 Surfers Paradise Golf Club

0452 008 372

1 Fairview Drive
Clear Island Waters
Queensland, Australia
4226
Email: mailto:leiha@markwilsondance.com