Raffle Prize (Winners)

Raffle Prize (Winners)

£0.00

Enter details below for Raffle Prize Winners and please remember to enter which Class or Camp the Raffle Prize is for.

 

*Once this form has successfully been received, Boogie Pumps HQ will send an email confirming your child’s place

 

View FAQs / View T’s & C’s / Privacy Policy / Sign Up Process

Is your class fully booked? If so please fill in this form to be added to the Waiting List.

Spaces Available

Which Class? *

Enter the name of the class you wish to attend.

Child’s Full Name(s) *

Child’s Age *

Gender

Educational School *

Child’s School Year *

For the term being booked

Medical Conditions or Educational Needs?

If yes, please provide any information we may find useful

Relation to Child *

Emergency Contact Number 1 *

Emergency Contact Number 2 *

Being Picked Up By *

Other Information

Photo/Video Consent? *

Do you give consent for your child to be photographed and/or videoed during these sessions?

Privacy Policy

New Customer

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