Booking form

PLEASE DO NOT COMPLETE THIS FORM IF YOU ARE ENQUIRING ABOUT ADULT SESSIONS.
ADULT CLASSES ARE DROP-IN AT MARINA STUDIOS. NO NEED TO BOOK.

To show interest in our kids’ classes, please complete the form below with your child’s details and we will get back to you with a suitable class, date and time.

Your / child's name*

Date of birth*

Gender*
Male Female Other 

School attended (if applicable)

Address (including postcode)

Mobile number

Emergency number 1*

Emergency number 2

Email address*

What level of skill would you consider your child to be?

What days would suit you best?
Monday Tuesday Wednesday Thursday Friday Saturday 

If there are any medical conditions that you feel are relevant, please specify here:

If a minor injury is sustained, do we have permission to administer a plaster?
Yes No 

In an event of an emergency, do we have permission to perform emergency first aid including CPR?
Yes No 

To read Terms & conditions click HERE!!

I agree to the terms & conditions.
Yes 

From time to time we take photographs/video at the course that may be used for marketing and promotional purposes for Streetfunk. If you would rather you/your child was not included in any photographs we must be informed in writing before the course. Submission of this form constitutes your consent to take and use these pictures/video.

Additionally, we would like to hold and use some of your details for future marketing purposes, for example sending you promotional information. Please let us know as soon as possible if you do not want to receive future mailings from Streetfunk by ticking here: