Fees & Enrolment - Chilton Dance Centre - Chilton Saint James School

Chilton Dance Centre Enrolment

Chilton Dance Centre Enrolment Form

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Year of Entry

Title

Family Name:

Given Name(s):

Preferred Name:

Date of Birth

Age

Address

Street Address

Address Line 2

City

State / Province

ZIP / Postal Code

Country

Telephone (Home)

Telephone (Work)

Mobile

Contact Email

Is this enrolment for a new or returning Chilton Dance Centre student?

New student

Returning student

Have any other family members previously attended Chilton Saint James School, Chilton Dance Centre or Chilton after school / holiday programmes?

Yes

Name of Family Member

Relationship to Student

How did you hear about Chilton Dance Centre?

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