Let's Dance Registration Form

Come and learn to swing dance at the British School Bern!

STUDENT INFORMATION
Name * First Last
Date of Birth * / DD / MM YYYY
Does your child have any allergies? *
No Yes, please specify:
PERSONAL INFORMATION
Mother's Name * First Last
Mother's Phone Number *
Mother's Email Address
Father's Name * First Last
Father's Phone Number *
Father's Email Address
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
PAYMENT INFORMATION

*not applicable to students at the British School*

The cost is CHF 20.- for the 4 sessions. (March 1st, March 8th, March 15th, March 22nd)
Payment is due before the first lesson. Please select the payment option below.
Please note, there are no refunds for missed lessons.
*
CASH on the day of the first lesson. BANK TRANSFER
BANK TRANSFER INFORMATION

The British School Bern
Credite Suisse, 3001 Bern
IBAN: CH94 0483 5029 0036 1100 0
Clearing Number: BIC CRESCHZZ30R
Draw your signature into the box below. *

Clear
Name of signing Parent * First Last