Holiday Course-May 2026 Registration Form

I would like to register my child for the Dance Shack Surbiton Holiday Course, 27-29 May, 2026, at Shrewsbury House School, 107 Ditton Rd, Surbiton KT6 6RL

The course is designed for ages 6-16.

Open to all - there is no need to be a member of Dance Shack.

A 20% discount will be included automatically for 2nd or 3rd children (sibling discount)

You can book the whole course or individual days - but please do not book just the last day by itself, as this is performance day and all children taking part will need to have attended at least one other day.

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Your Name

First NameLast Name

Phone Number

E-mail

example@example.com

My child is already a student at Dance Shack

Address

Street Address

Address Line 2

County

Postcode

Child's Name

First NameLast Name

Child's DOB

DayMonthYear

Age

2nd Child's Name

First NameLast Name

2nd Child's DOB

DayMonthYear

Age

3rd Child's Name

First NameLast Name

3rd Child's DOB

DayMonthYear

Age

Please list any relevant physical or medical conditions

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Select FULL COURSE OR individual days & then number of students

FULL COURSE (10.00am-4.00pm) 3 DAYS

£150.00 Quantity

Wednesday 27 May (10.00am-4.00pm)

£55.00 Quantity

Thursday 28 May (10.00am-4.00pm)

£55.00 Quantity

Friday 29 May (10.00am-4.00pm)

Please do not book just this last day by itself, as this is performance day and all children taking part will need to have attended at least one other day.

£55.00 Quantity

Total

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Credit Card Number	Security Code
Expiration Month	Expiration Year

Holiday Course - May 2026

Select FULL COURSE OR individual days & then number of students*

Select FULL COURSE OR individual days & then number of students