Individual Registration

Please enter information in the form below to complete purchase for KTY Lil Groovers Dance Classes Term 1 2020.

Discount Code (if you have one) Discounts are applied on the Next Page
Participant's First Name*
Participant's Last Name*
Email*
Child's Last Name
If you do not have your Customer ID or are new to our programme, please continue to fill out the fields below.
*Please note a seperate form needs to be filled out for each Child enrolled.
Customer ID
Student's Date of Birth (yyyy-mm-dd)* calendar
Address*
City*
Post Code*
Childs Name:*
Parent/Guardian Name*
Parent/Guardian Mobile*
Enrolment Information

Please select the KTY Dance Classes you wish to enrol in for Term 1 2020!
Enrolment
Lil Groovers
Term 1 2020*
  Mon Kinder (2-3yr) Lil Groovers:- 9:30 – 10:00am
  Mon Kinder (2-3yr) Fairy Ballet:- 10:00 – 10:30am
  Mon Level 0 (4-6yrs) Lil Breakers:- 4:15 – 5:00pm
  Mon Level 0 (4-6yrs) Pre Ballet:- 4:15 – 5:00pm
  Tue Kinder (2-3yrs) Lil Groovers (was Tiny Tots): 9:30 - 10:00am
  Tue Kinder (2-3yrs) Fairy Ballet: 10:00 - 10:30am
  Tue Level 0 (4-6yrs) Lil Breakers:- 4:15 – 5:00pm
  Tue Level 0 (4-6yrs) Junior Jazz (was Mixed Bag):- 5:00 – 5:45pm
  Wed Level 0 (4-6yrs) Pre Ballet:- 4:15 – 5:00pm
  Wed Level 0 (4-6yrs) Lil Breakers:- 4:15 - 5:00pm
  Thu Kinder (2-3yr) Lil Groovers:- 9:30 – 10:00am
  Thu Kinder (2-3yr) Fairy Ballet:- 10:00 – 10:30am
  Thu Level 0 (4-6yrs) Lil Breakers:- 4:15 – 5:00pm
  Sat Kinder (2-3yrs) Lil Groovers:- 9:00 – 9:30am
  Sat Kinder(2-3yrs) Fairy Ballet:- 9:30 – 10:00am
  Sat Level 0 (4-6yrs) Pre Ballet:- 9:00 – 9:45am
  Sat Level 0 (4-6yrs) Lil Breakers:- 9:00 – 9:45am
  Sat Level 0 (4-6yrs) Junior Song and Dance:- 9:00 – 9:45am
  Sat Level 0 (4-6yrs) Junior Jazz:- 9:45 – 10:30am
Number of siblings enrolled in KTY @ The Space*
Only Child Enrolled Other Siblings Enrolled  
Names of Siblings
comma separated list
Please fill this form out separately for each child.
Regular Class Enrolment Cost
Total cost displayed on the next page
Payment Method Secure Credit Card Processor
Billing Address*
Credit Card Number*
Expiration Date* /
Card (CVV) Code*
Card Type*
Card Holder Name*
iDeal Bank*

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