Pupil Registration, Free Trial & Contact Form-Mysite

Students Full Name

Age if a Child

Student's Date of Birth

Parent or Guardian Full Name

Email

Mobile Number

Address

Emergency Contact Full Name

Mobile Number

What classes are you interested in?

Does your child have any allergies? Has your child been diagnosed with any medical conditions or behavioural/communication disorders?

Previous dance experience/school and exams taken

How did you learn about our dance classes

Are you happy for us to contact you via email/telephone with information including termly invoices, the school Newsletter, regular updates, information about school events, workshops, trips etc.

Would like your child to participate in Dance Exams

Would like your child to participate in Dance Shows

Photographs are taken from time to time and may be added to the school website/Facebook/other social media. Are you happy for your child’s photos to be used.

Please Note:

Should your child wish to withdraw from any class, this must be done in writing to the principal giving one half terms notice/6weeks. If notice is not received half a term’s fees will be charged in lieu (this excludes new pupils for their first half-term).

*PLEASE NOTE IN THE CASE OF A MEDICAL EMERGENCY AND NOT BEING ABLE TO REACH PARENTS OR EMERGENCY CONTACTS, THE EMERGENCY SERVICES WILL BE CONTACTED*.

Please sign (type your name) and date below to indicate that you have read and agree to the above

Full Name

Date