Trial Class Form

$10 - 30min class

$13 - 45min class

$15 - 1 hour class

Charli

Charli

Childs Name
Parent/Guardian Name
Address
Phone
Date of Birth
Media Release
I understand that pictures and or video footage of my daughter or son may to be used on the company website, Facebook page or promotional documents.
Child Age Category
Please check the appropriate age group for your child.
Class Options
Please check the classes you wish to take.

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