................................... telephone: 01276 508789 email: admin@jacad.org address: Pinewood Leisure Centre, Berkshire, RG40 3AQ ...................................
Please fill in the form below. Clicking submit will email it to the school. A paper form can be obtained by telephoning 01276 508789.

Pupil(s) Name(s):              Date of Birth:
                                                                          

Any previous dance training? yes no

if yes, please specify previous dance school and any exam results with examining body:

Parent/Guardian's Name:       Email Address:

Home Telephone Number:     Mobile Telephone Number:

Home Address: