Student Name_____________________________________________________
Class Day_____________________________ Time______________________
Parent Name___________________________Tel________________________
Email____________________________________________________________
Please circle size.
Red Cotton Lycra Top $100 Child S M L
Adult S M L
Red Shoe T-Shirt $100 XS S M L
Black Cotton Lycra pants $220 Child XS S M L
Adult S M L
Black Jazz Shoes $280 Sizes 30 - 45 (Draw round bare foot on reverse)
Black Jazz Sneakers $380 Sizes 32 - 40 (Draw round bare foot on reverse)
TOTAL OF ORDER $______________________
Please hand to teacher or send together with payment . Thankyou.
Cheques made payable to “Red Shoe Dance Company Ltd.”