Kate’s School of Dance

ENROLLMENT FORM

PLEASE WRITE CLEARLY IN BLOCK CAPITALS

DATE ENROLLED__________________

BALLET/STREET DANCE/ZUMBATOMIC TUES/ZUMBATOMIC THURS (please circle appropriate class) 

NAME OF STUDENT __________________________________

AGE OF STUDENT _________DATE OF BIRTH_______________

MEDICAL CONDITIONS/ALLERGIES ______________________

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NAME OF PARENT/GUARDIAN ___________________________

ADDRESS_____________________________________________

_____________________________________________________

POSTCODE___________________

CONTACT NUMBER _____________________________________

EMERGENCY CONTACT__________________________________

EMAIL ADDRESS _________________________________________

What is the best way to contact you? Phone/email?

From time to time Kate’s school of dance will be taking photographs or film performances.  This will be for advertising purposes only.

1) I give permission for my child (named above) to be photographed or filmed.

2)I have read and agree to adhere to Kate’s School of Dance Student/parent expectations (please ensure you read through the student/parent expectations before signing this form)

3)I understand the fees of £_______ are for your place for the term and are non-refundable.  Fees are to be paid at the beginning of each term. 

4)I understand that if I miss 3 consecutive lessons with no prior notice, your place will be offered to the next child on the waiting list.

Sign ____________________________________ Date__________