OFF CENTRE
TRIAL BOOKING REQUEST

Parent Information

Parent/Guardian Full Name *

Phone *

Email *

Best time to contact you (Monday-Friday): *

Mornings (After 10am)

Afternoon (After 2pm)

Evenings (After 5pm)

Student Information

Student First Name *

Student Last Name *

Student Date Of Birth *

Gender

Please select

Female
Male
Prefer not to answer
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Student Medical Conditions, Allergies or Special Needs

Emergency Information

Emergency Contact (Alternative to Main Contact)

Emergency Contact Phone Number

Emergency Contact Relationship to Student

Class Selection

What is your desired program *

Minis - Ages 2-5

Petites - Ages 5-6

Pre Junior - Ages 7-8

Juniors - Ages 8-10

Pre Intermediate - Ages 10-12

Intermediate - Ages 12-14

Pre Seniors - Ages 14-17

Seniors - Ages 17+

Adults - Ages 18+

Little Monkeys 2-5

Dance Cirque 6+

What is your desired style *

Dance

Acrobatics &/or Cheerleading

Circus

Music

You may trial as many classes as you wish within the 7 day period. Once we confirm your classes with you, you will be asked to pay the trial booking fee of $15. If you love our classes and join us we will credit your account with $15 as a welcome gift.