BOOK YOUR FREE TRIAL HERE
Students First Name:
Students Last Name:
(Note: If booking free trial for the new parent and child class please put the name and date of birth of the child attending above and the parent attending as the emergency contact details below)
How does the student identify?
Prefer not to say
Contact Email Address:
Mobile Number (if under 16, this must be the number of the parent / guardian):
Emergency Contact Person Details
Medical conditions (please type 'NONE' if none):
Is there a particular class you'd like to attend or perhaps a certain day you'd prefer (please refer to our
ote: Saturday 10:05am age 6-9 class and Tuesday 8:30pm intermediate adult class are both currently full, you can still apply for a free trial and be added to the waiting list.
How did you hear about Hip Hop Pop?:
Word of Mouth
At a Performance
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