Wicklow Latin Dance, info@wicklowlatindance.com, 086 326 2635

Child's Name
Child's date of birth dd/mm/yyyy
Please choose a class
Name of school your child is attending
Guardian's Name
Guardian's Phone number
Address
County
Email
Does your child have a learning difference? e.g. Dyslaxia / Dyspraxia etc.(so that we can adapt our teaching style to maximise your child's potential)
How did you hear about us?
Have you read our Terms and
conditions
?
Any additional information that we should know? e.g. any medical condition that we need to be aware of
Information supplied here is secure and will not be given to third parties.
Now enrolling for Jan 2014 and September 2014. We have a high percentage of re-enrolment so we only have few new spaces in each class. We keep our classes small so each student will have some indiviual attention.

PLEASE NOTE dedicated Baby Ballroom Classes now set up for children from 3-5 years old. Please enrol to secure your space.

Children Classes Enrolment