Brian Poniatowski Master Class Registration

Brian Poniatowski Masterclass Registration
(separate entry for each student)

* Indicates required field

Student Name *

First

Last

Day *

Month *

Year *

Age *

Gender *

Male Female

Select Option *

10.00-11.30am Inter/Adv Ages 13-18

Dance Experience (state years) *

Parent/Guardian Name *

First

Last

Parent Phone Number (Mobile) *

Phone Number (Home) *

Parent Email *

Terms and Conditions

Places are confirmed upon receipt of payment
No refunds once formally registered and payment received

All classes will be automatically canceled for Typhoon Signal#8, Black Rain Warning or higher. Full refund will be given.
All students attending class should be physically fit and bear their own risk. Neither Red Shoe Dance Company Ltd nor its teachers will be responsible for any injuries which may be sustained during class.

I agree to the terms and conditions set forth *

Yes

Submit