REGISTRATION FORM - Breeze

Bharatanatyam MINIS
Looking for a fun activity for your children? Want to get them
moving & grooving in a safe & nurturing environment? Well
then, why not bring them along to these weekly
Bharatanatyam dance sessions for a fun, new experience!
Participants will get an introduction to dance & movement,
make friends & have a great creative outlet. This class is
open to children age 7-12. Parents/Carers welcome.
Bharatanatyam SENIORS
The senior class is aimed at young people and adults aged
13 and over with prior experience of Bharatanatyam dance.
Bharatanatyam Class
FRIDAY EVENINGS
Dates for whole of the 2010-2011 academic year:
Friday 10 th September - Friday 10 th December 2010
(No session on Fri 15 th and 29 th October 2010)
Friday 14 th January – Friday 1 st April 2011
(No session on Fri 25 th February 2011)
Friday 6 th May- Friday 15 th July 2011
(No session on Fri 3 rd June 2011)
Venue: The Dance Studio, Macaulay Street, Leeds,
LS9 7DZ
Minis Bharatanatyam
Time: 6.00pm – 7:30 pm
Fees: £60 per term
PLUS a yearly registration
fee of £15
(to be paid in September)
Seniors Bharatanatyam
Time: 7.30pm – 9:00 pm
Fees: £120 per term
PLUS a yearly registration
fee of £15
(to be paid in September)
To register: Please fill in the attached registration form &
send it back to SAA-uk with your payment.
South Asian Arts – uk
3 St Peter’s Building, St. Peter’s Square, Leeds, West Yorkshire, LS9 8AH
Tel: 0113 244 5523 Fax: 0113 244 1319
Email: info@saa-uk.org.uk Web: www.saa-uk.org.uk
Name:
Address:
Tel:
Mobile:
Post Code:
Parent/ Guardian Name (If student is under 18):
Emergency Contact Number:
Email:
Date of Birth: Current Age:
Gender:
REGISTRATION FORM
Please add my details to SAA-uk’s mailing list to be informed of
upcoming South Asian music & dance events.
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FOR SAA-uk ADMINISTRATION ONLY:
Details entered into register
Payment received
Database updated
REGISTRATION
FORM CONTINUED
OVERLEAF…
SAA-uk is a Registered Charity (No. 1080292) and a Company Ltd. By
Guarantee (No. 3391845)
Details correct at time of print, but subject to change.
Please contact SAA-uk for exact details at the time of booking.

I would like to register myself/ my child
(name) in the following Bharatanatyam Class:
Mini Bharatanatyam
Senior Bharatanatyam
For the following Terms: (please tick all that apply)
Term 1 (September 2010-December 2010)
Term 2 (January 2011- March 2011)
Term 3 (April 2011- July 2011)
……………………………………………………………………………….
FEES:
Minis: £60 per term
Seniors: £120 per term
Please note: Both classes are subject to a yearly £15
registration fee (to be paid in September).
(Cheques to be made payable to SAA-uk.
Please do not send cash by post!)
………………………………………………………………
PHOTOGRAPHY & VIDEO:
I give permission for my child to be photographed and/or videoed
in the classes & during performances for publicity purposes only.
DECLARATION:
I have filled in the registration form. Please find my full, nonrefundable,
non-transferable payment of £
enclosed.
Parent’s Signature (or participant signature if over 18):
Date:
Emergency Contact Number:
……………………………………………………………
Please return to SAA-uk:
3 St Peter’s Building, St Peter’s Square, Leeds, LS9 8AH
BHARATANATYAM
DANCE CLASSES
www.saa-uk.org.uk
For ages 7-adult
Friday Evening Classes