Entry Form

"*" indicates required fields

Venue Location*

Name of Student*

First Last

Student Date of Birth*

Age of student on day of competition - Southampton*

Medical Information

Name of Current Dance School

Southern Dance Class Awards requires permission from each performer (or a parent / guardian if they are under 18) to put winner’s names and/or photograph on the Southern Dance Class Awards website, other Southern Dance Class Awards publications and in the press. This also includes videos & photos for social media.Please tick here to confirm that permission is given. Please email names to [email protected] of any performers if their permission is refused.*

Tick to confirm

Name of Parent / Guardian or Dance Teacher*

First Last

Email*

Phone*

Please confirm that you have read the event rules.*

Click here to view the rules page in a new tab.

Tick to confirm

Competitor Entry*

Price:

Spectator Entry

Price: £ 8.00

Total

Refunds will only be given due to medical reasons, which may require a doctor's note. No other refunds will be given.

Billing Address

Street Address City County Postcode

Credit / Debit Card (Secure payments with Stripe)

Card Details

Cardholder Name