Price category * |
Parent/Carer First name * |
Parent / Carer Last name * |
Email * |
Mobile * |
Address 1 * |
Address 2
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City/Town * |
County
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Postcode * |
Child First name * |
Child Last name * |
Child D.O.B. * |
Child age at time of travel * |
Does your child suffer from any medical conditions? * |
Is your child currently taking any medicine? * |
Size of dance kit (cycling shorts and crop top or T shirt) - XS, S, M, L, XL, Small Adult, Medium Adult * |
Arrival Date at Resort * |
Departure Date * |
Reservation Booking Name * |
Reservation Booking Reference Number * |
Accomodation Type
* |
Source of Booking ie Tour Operator * |
How did you hear about Campioni Dance Academy? * |
I agree to photos being taken of my child for possible advertising & social media purposes. No names will be used with the photography. * |
Please state how many days you wish to take part in the dance academy - 2, 3, 4, or 5 (Please stipulate the specific days you wish to attend and detail the specific days, pls note the days do not need to be consecutive. * |
Who did you book Campioni Dance through? * |
* |