Class Registration Form

Class Registration Form

Please fill out the following form to register for our classes. Ensure all information is accurate. Submission does not confirm your booking; confirmation will be sent after review.
Student Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Student Address*

Street Address

Street Address Line 2
TownCountyPost Code
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (00) 000-000-000.
Emergency Contact Name*

Full NameRelationship
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (00) 000-000-000.
Visual impairmentHearing impairmentOther (please specify)Social or PsychologicalNone of the above
Class Requested*
Dancer Level *
Vulnerable Adult or ChildChild in NeedProtected ChildNone of the above
I give consent to use photographs and videos of the student for promotional purposes
I give consent for TMDA to store my data in accordance with the latest GDPR legislation
You have understood the terms and conditions laid out on our Instagram page.You acknowledge the sanctions that take place if these terms are not adhered to.
Would you like to share any additional comments or information we may need to know?*
I understand that submission of this form does not constitute a booking confirmation.I will await confirmation from TMDA before making payment.I understand that no refunds will be given for monies sent to the wrong account or prior to space confirmation.
Should be Empty: