Registration/EOI: Rolypoly Family Junior Contemporary Dance

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

You can register your interest in Rolypoly Family's Junior Contemporary Dance Class using this form. It is for children aged 7 and above. We will commence the class with sufficient interest.

We are gathering Expressions of Interest for these locations.

CENTRAL Day/Time: Wednesdays, 315 - 415 PM

Location: The Learning Caravan (near Farrer Park MRT)

444 Serangoon Rd #02-01 S 218136

EAST Day/Time: Thursdays, 3 - 4 PM

Location: Little Creatures Studio (near Mountbatten MRT)
Goodman Arts Centre, Block B #05-02 S 439053

Trial/Drop-In: $40/class
$360 for 10 classes (by term)

Notes:

Can’t use up your package? Top-up $40 and finish the remaining classes in the next term.

Child's First Name & Family Name *

Child's Age *

Parent/Guardian's First Name & Family Name *

Email Address *

Contact Number *

Emergency Contact Number *

When would you like to attend a trial class or begin a package? See above for potential class timings. *

YYYY

Please describe your child's experience with dance, if any.

We occasionally take photos and videos for archival and documentation. If we want to use images/videos for publicity we will seek consent from you beforehand. *

I consent to photos/videos of my child being taken and I acknowledge that consent will be sought before use in publicity.

I want to opt my child out of all photo & video taking.

Physical activities such as dance, drama and musical theater carry a risk of injury to participants. I hereby release Derring-Do Dance Pte. Ltd. and dance artists of any liability whatsoever arising out of any injury, damage or loss which may be sustained by myself, my minor children, or any other family members, during the course of involvement with this camp event. *

I have read the above information, understand its contents, and accept and assume such risks.

Required

Cancellation Policy: Packages are non-refundable. You may choose to transfer them to someone else. *

I have read the above information, understand its contents, and accept and assume such risks.

Required

Any other comments/questions? Anything else we should know about your child or accommodations needed?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms