Registration Form

Any conditions and what Procedure is required in an Emergency should Medical Condition arise:-

Children under 16 Years using an inhaler must have written permission from parent/guardian for pupil to use their inhaler during
class. Adults with back or knee problems, etc, will need to consult their doctor before commencing any adult class.

The above information may be used for exam entries.
There may be occasions when we use pupil’s photographs for publicity i.e. Facebook other electronic media. If you have any objections please tick the box below. Any objections please inform me in writing.

I object to the use of pupil’s photographs for publicity

I hereby undertake that all due notice has been given to previous dance teachers/schools attended and that the student no longer attends any form of training with any other dance teacher/school. Also, the student will not attend any classes/private lessons with other teachers/dances schools, unless by prior approval where formal agreements have been entered into between teaching establishments.
I agree to all the terms and conditions above (please digitially sign below)

Name of Parent/Guardian*

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I understand