Filter

Raffle Prize (Winners)

Name: Raffle Prize (Winners)
SKU: 1029
Availability: InStock

£0.00

Enter details below for Raffle Prize Winners and please remember to enter which Class or Camp the Raffle Prize is for.

*Once this form has successfully been received, Boogie Pumps HQ will send an email confirming your child’s place

View FAQs / View T's & C's / Privacy Policy / Sign Up Process

Spaces Available

Which Class?

Enter the name of the class you wish to attend.

Child’s Full Name(s)

Child’s DOB

Child’s Age

Gender

Educational School

Child’s School Year

For the term being booked

Medical Conditions or Educational Needs?

If yes, please provide any information we may find useful

Relation to Child

Emergency Contact Number 1

Emergency Contact Number 2

Being Picked Up By

Where did you hear about us?

Other Information

New Customer?

Please tick if your child is new to Boogie Pumps

Photo/Video Consent?

Do you give consent for your child to be photographed and/or videoed during these sessions?

ADD a T-Shirt?

Add a Boogie Pumps T-shirt (£10 + £3 shipping), select your size from the dropdown below. For personalised t-shirts and all other merchandise please see our online store.

Privacy Policy

I have read the privacy policy and agree to Boogie Pumps terms and conditions.

Category: Raffle Prize (Winners)

Raffle Prize (Winners)

Which Class? *

Child’s Full Name(s) *

Child’s DOB *

Child’s Age *

Gender *

Educational School *

Child’s School Year *

Medical Conditions or Educational Needs?

Relation to Child *

Emergency Contact Number 1 *

Emergency Contact Number 2 *

Being Picked Up By *

Where did you hear about us? *