• Solo Development

    Choreography Solo Development

  • Performance Header

    Disney Tour

  • Classes Header

    Street - Jazz - Contemporary - Ballet

  • Street Dance

    Street Dance

  • Hip Hop

    Hip Hop

  • Stage Shows

    Stage Shows

  • Passion for Dance

    Passion for Dance

mad4dance street dancer

Registration Form

To register your child's place, please complete the form below. Upon receipt you will then be emailed payment details. Thank you.

There is a registration fee of £15 which includes a welcome pack and Mad4Dance t shirt. You will be emailed to confirm the remaining amount owed for classes for this month along with the registration fee. The total amount will then be debited from your account within 5 working days. Monthly direct debit payments will then start from 20th of each month.

  1. 1. Student Details
  2. First Name(*)
    Please let us know your name.
  3. Surname(*)
    Invalid Input
  4. Date of Birth(*)
    Invalid Input
  5. Age(*)
    Invalid Input
  6. Home Address(*)
    Invalid Input
  7. Postcode(*)
    Invalid Input
  8. School Attending(*)
    Invalid Input
  9. What type of dance is the student interested in?(*)
    Invalid Input
  10. 2. Parent/Guardian contact Information
  11. First Name(*)
    Invalid Input
  12. Surname(*)
    Invalid Input
  13. Relationship To The Student(*)
    Invalid Input
  14. Parent Email(*)
    Invalid Input
  15. Contact number(*)
    Invalid Input
  16. Parental Responsibility
    I confirm that I have parental responsibility for the above named child and I undertake to inform Mad4Dance of any changes to the information provided.
  17. Please tick to confirm(*)
    Please confirm
  18. Medical Information Confirmation
    I confirm that my daughter/son is in good health and I give consent for my daughter/son to participate in Mad4Dance classes, exams, workshops and performances.
  19. Please tick to confirm(*)
    Please confirm
  20. 3. Alternate Emergency contact details
  21. First name(*)
    Invalid Input
  22. Surname(*)
    Invalid Input
  23. Relationship(*)
    Invalid Input
  24. Contact number(*)
    Invalid Input
  25. 4. Terms & Conditions
  26. Please confirm you agree with the registration Terms and Conditions (opens in new window so this form will stay open in current tab)
  27. Please agree below(*)
    Invalid Input
  28. Security - What colour is grass?(*)
    Try a capital G for Green