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
Date
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.
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.
Signature
Payment Terms: Payment will be taken monthly spread over the course of 12 months.
Should be Empty:

DP Dance Enrolment Form

Terms and Conditions: