Sit & Fidget
reg. charity no. 1114405
claire@sitandfidget.co.uk;
(01702) 306742
mob. 07810 520705

 

STREET DANCE WORKSHOP

DETAILS :
Dance workshop ages 8-16. 6-8pm, Friday January 15th, at Blenheim School, School Way (off Blenheim Chase) , Leigh on Sea.
Please go to Reception and ask for us, or straight to the Hall. If you get lost please call my mobile (above)

ACTIVITIES:
Street Dance with tutors from Kayzar Dance. You will learn some steps and put together a short routine.

REQUIREMENTS:
Please wear soft-soled shoes and loose clothing suitable for this style of dance and bring a drink

Please send the completed form below, with the fee of £2.50 per person to
Sit & Fidget, 4 Glenmore St., Southend on Sea, SS2 4NG (cheques made out to Sit & Fidget please)

NAME(s)...................................................................................................................................................

AGE(s) if under 16.......................................................................................................................................

ADDRESS............................................................................................................................

POST CODE.................................................................................................

NAME OF CONTACT ........................................................

PHONE NO...............................

Emergency phone no. (if different).....................................................................................

email................................................................................................................................

Anything we should know? ....................................................................................

PHOTO CONSENT FORM
Please let us know if you do not wish photos to be taken.
If participant is under 16 the slip below must be signed by a parent / carer

I give permission for images of the young person named above to be used by Sit & Fidget as follows

Release of photos to the media to publicise the project and the work of the group
Use of photos on the Sit & Fidget website or partner websites to promote awareness of the project and the work of the group

signed…………………………………… date…………………………………………

please print your name......................................................................................................