STUDENT REGISTRATION

STUDENT REGISTRATION FORM

Born 2 Dance Irthlingborough
Please complete all the information on both pages of this form to register your child for classes with Born 2 Dance.
Class / classes your child is joining:
PARENT / GUARDIAN INFORMATION
Full Address (with postcode):
Phone Number:
Home Number:
Emergency Number (if the other numbers do not answer):
Email address:
example@example.com
STUDENT INFORMATION
Name

First Name Surname
Date of Birth:

Month Day Year
Date
Gender:
Important: Disability/ Allergy/ Learning Needs (please give details):
Do you give permission for us to share medical/disability information with authorised staff if needed? (e.g your child's teacher)
Do you allow your child to leave without supervision?

Yes No
GENERAL
I am happy to receive information via email from Born 2 Dance such as information on shows, closure, upcoming events etc

Yes / No
Born 2 Dance have my permission to take photos/video during classes workshops, events and performances for the purposes of marketing and publicity .

These will never be shared with identifying information (age etc)
Please understand in the interests of Data Protection, by selecting no, we will not be able to allow any parent/guardian to record a show in which your child appears. This also means that your child may not be able to take part in shows which are filmed by Born 2 Dance.

I have read, understood and agree to Born 2 Dance Privacy Notices and Terms and Conditions
Born 2 Dance collects data in order to provide classes to participants, by submitting information you are agreeing to our Customer and Student Privacy Notice.
Should be Empty:

STUDENT REGISTRATION FORM

PARENT / GUARDIAN INFORMATION

STUDENT INFORMATION

GENERAL