DP Dance Enrolment form

DP Dance Enrolment Form
Dancers Name

First NameLast Name
Best Email to contact
All information will be sent via email
Best Phone Number to contact

Area CodePhone Number
Date of birth of dancer

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency contact name

First NameLast Name
Relation to dancer
Emergency contact number

Area CodePhone Number
Are there are medical conditions, disabilities or diagnosed mental health conditions we should be aware of for the dancer?
What dance are you interested in
What other classes would you be interested in?
Photo consent (for advertising purposes)
Any Queries you may have/extra information you would like to tell us...
Prices

Trial classes - 2 classes for the price of 1

30 min class - £4

45 min class - £5

60 min class -£6

Private classes £20

Payment will be taken monthly, spread over the course of 12 months.

Adult classes have no set trial period and are payed monthly.

Dance fitness classes are pay as you go or you can pay for a block of lessons or can be payed monthly. (There is not trial for this class)
Uniform Details

At DP Dance Company, our aim is to ensure all dancers feel comfortable and confident in class.

Uniform items can be purchased through Daisy; please email dpdance.co@outlook.com for details. Hair must be neatly tied back and secured away from the dancer’s face.

We also offer our own exclusive DP Dance range, which can be purchased through Daisy by emailing dpdance.co@outlook.com
Terms and Conditions:

By submitting this form, I acknowledge that participation in dance classes involves physical activity and I hereby release the dance studio and its instructors from any liability for injuries or accidents that may occur during classes or events.

1st class paid for (Adults) or 2 week trial payed for (Child)

Dance Fitness in South Brent

(Friday 9:30-10:30)

£6.00

Tap and modern in Ermington

(16:15-17:00)

£5.50

Street Dance in Ermington

(17:00-17:45)

£5.50

Lyrical Dance in Ermington

(17:45-18:30)

£5.50

Dance Fitness in South Brent

(19:00-20:00)

£6.00

Adult Tap in South Brent

(20:00-20:45)

£5.50

Payment Methods

Credit Card

Apple Pay

Google Pay

Signature
Payment Terms: Payment will be taken monthly spread over the course of 12 months. (after trial period is over and comfirmation of attendance has been made) - For all classes apart from Dance fitness.
Should be Empty:

DP Dance Enrolment Form

Terms and Conditions:

1st class paid for (Adults) or 2 week trial payed for (Child)*

Payment Methods

1st class paid for (Adults) or 2 week trial payed for (Child)