Individual Registration

Please enter information in the form below to complete purchase for KTY Senior 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
Senior
Term 1 2020*
  Mon Level 3 (10-13yrs) Contemporary:- 4:30 – 5:30pm
  Mon Level 3-4 (10yrs+) Acrobatics/Tumbling :- 5:30 – 6:30pm
  Mon Level 4 (13yrs+) Contemporary:- 6:30 – 7:30pm
  Mon Level 2-3 (8-13yrs) Boys Hip Hop:- 6:30 - 7:30pm
  Tue Level 3 (10-13yrs) Jazz:- 4:30 – 5:30pm
  Tue Level 3 (10-13yrs) Lyrical:- 5:30 – 6:30pm
  Tue Level 3 (10-13yrs) Hip Hop:- 6:30 – 7:30pm
  Tue Level 3-4 (10yrs+) Tap:- 7:30 – 8:30pm
  Tue Level 4 (13yrs+) Hip Hop:- 4:30 – 5:30pm
  Tue Level 4 (13yrs+) Lyrical:- 5:30 – 6:30pm
  Tue Level 4 (13yrs+) Jazz:- 6:30 – 7:30pm
  Wed Level 3-4 (10yrs+) Hip Hop:- 5:30 – 6:30pm
  Wed Level 3-4 (10yrs+) Commercial Jazz:- 6:30 – 7:30pm
  Thu Level 3-4 (10+yrs) Hip Hop:- 6:30 – 7:30pm
  Thu Level 3-4 (10yrs+) Contemporary:- 4:30 – 5:30pm
  Thu Level 4 (13yrs+) Jazz:- 6:30 – 7:30pm
  Thu Level 4 (13yrs+) Ballet:- 7:30 – 8:30pm
  Fri Level 3-4 (10+ yrs) Circus:- 4:30 – 5:30pm
  Fri Level 3-4 (10+ yrs) Acrobatics:- 5:30 – 6:30pm
  *Sat Level 3-4 (10yrs+) Musical Theatre:- 10:00am – 12:30pm
  Sat Level 3 (10-13yrs) Ballet:- 9:00 – 10:00am
  Sat Level 3 (10-13yrs) Hip Hop:- 10:00 – 11:00am
  Sat Level 3 (10-13yrs) Lyrical:- 11:00 – 12:00pm
  Sat Level 3-4 (10yrs+) Boys Hip Hop:- 3:00 – 4:00pm
  Sat Level 2-4 (8yrs-16yrs) Singing:- 12:30 - 1:30pm
  Sat Level 3-4 (10yrs+) Breakin:- 4:00 – 5:00pm
  Sat Level 4 (13yrs+) Lyrical:- 12:00 – 1:00pm
  Sat Level 4 (13yrs+) Hip Hop: 1:00 - 2:00pm
  Sat Level 4 (13yrs+) Ballet:- 2:00pm – 3:00pm
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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The Space Dance & Arts Centre copyright 2010.