Application Form

New Term Application Form !

(alternatively you can download a PDF of the form here)

Email Address:

Parent/Guardian Name:

Tel Number:

Mobile:

Home Address :

Children fulll name(s) attending / classes requested:

Child Name 1: Age:

Monday Elem/Inter Class - 5.30pm-7pm
Wednesday Class 6yrs+ (beginners) - 5.30pm-6.30pm
Wednesday Class 9yrs+ (non-beginners) - 6.30pm-8pm

Child Name 2: Age:

Monday Elem/Inter Class - 5.30pm-7pm
Wednesday Class 6yrs+ (beginners) - 5.30pm-6.30pm
Wednesday Class 9yrs+ (non-beginners) - 6.30pm-8pm

Child Name 3: Age:

Monday Elem/Inter Class - 5.30pm-7pm
Wednesday Class 6yrs+ (beginners) - 5.30pm-6.30pm
Wednesday Class 9yrs+ (non-beginners) - 6.30pm-8pm

Child Name 4: Age:

Monday Elem/Inter Class - 5.30pm-7pm
Wednesday Class 6yrs+ (beginners) - 5.30pm-6.30pm
Wednesday Class 9yrs+ (non-beginners) - 6.30pm-8pm

Adult Class - Names:

Adult Name(s):

Monday Adult Freestyle - 7.00pm-8.00pm

Once complete, please print a copy of this form and send with cheque (made payable to 'E. Moran') four weeks in advance of the first class requested. Then click the submit button below.

Please send cheques to:

Funky Chicks Ltd. Cadlands, Perry Street, Chislehurst, Kent. BR7-6HA