Contact 1 — D'Arcy Stage School

Contact DSS!

Please fill in the form provided to contact Georgia D’Arcy.

All details will be kept only by Georgia for contact purposes regarding DSS.

Parent Name

First Name

Last Name

Student Name

First Name

Last Name

Number

Please tick which branch you are interested in x

London School {Old Street}

Kent {Ditton, Aylesford}

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please write below if your child/ children have danced before and if so to what level. Please also state what classes they are interested in x

Date of Birth - Date / Month / Year

Medical Information - Please write below if there is anything medical I should know or anything else you feel myself and staff should know.

Georgia D'Arcy is DBS and first aid trained.