Student Registration Form
2024/2025 Dance Season
Student Name
First Name
Last Name
Student Birth Date
Please select a month
January
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Month
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Day
Please select a year
2024
2023
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1920
Year
Gender
Please Select
Male
Female
N/A
What year did you join our school?
HDAD MEMBERSHIP
Address
Street Address
Street Address Line 2
City
County
Post Code
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
-
Area Code
Phone Number
Please select the classes you are interested in for the new term:
Little Steps Dance Class 1-3years
Theatre Dance Class 1 3-6years
Theatre Dance Class 2 7 - 11years
Acrobatics Class 1 4- 11years
Acrobatics Class 2 11-16years
Acrobatics + 7+
Lower Festival Class Invite Only
Upper Festival Class Invite Only
Open Ballet Class 11-16years
Open Tap Classs 11-16years
Open Modern Class 11-16years
Lyrical Class 7+
Commercial Class 7+
Musical Theatre 5+
Adult Tap Class 16+
Please comment below if you want to be added to 1-1 slot
Is your child authorised to make their own way home by themselves?
YES
NO
Names of people authorised to collect your child. Please provide their full name, relation to you and a contact number. (This includes lift sharing, friends, taxis, babysitters, private drivers, etc.)
Does your child have any health issues, special needs, or allergies that we should be aware of?
PHOTOGRAPHY, VIDEO & MEDIA APPROVAL I, the undersigned, hereby grant permission to Hugglescote Dance And Drama to photograph and/or record on video and to use this material in whole or in part, to promote Hugglescote Dance And Drama. I understand that the material will remain property of Hugglescote Dance And Drama. I further waive any claim to remuneration for material used for these purposes.
YES
NO
Do you agree for a qualified HDAD First Aider to administer First Aid if necessary?
YES
NO
COVID-19 - I agree that I will follow all safety procedures put in place by HDAD to reduce risk of infection. If a family member or student should display any symptoms, I will ensure they do not attend class- only returning once the isolation period has ceased.I therefore take responsibility for sending my child to the studio, in the trust that customers and staff will fully adhere to the guidelines.
YES
NO
Please confirm that you have read and agree to the following: I give permission for the student named above to participate in Hugglescote Dance And Drama classes both in the studio and online. I realise that participation in this activity involves risk of injury. I hereby waive and release Hugglescote Dance And Drama and all teachers, instructors, volunteers and employees from any and against all claims of liability including accidents, injury or death.
YES
NO
Additional Comments
Signature & Date
Submit
Submit Application
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