ASOD Registration Form

Alison School of Dance

Student Registration Form
Please complete the registration form before your first class.

If you have any queries regarding the form, email us at alisonschoolofdance@gmail.com

Student Information

Student Registration Form
Name of Student

First NameLast Name
Parent Email
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Phone Number
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Emergency Contact Information

Class Booking

Student Registration Form
Please select the day you will be attending:

Medical Information

Student Registration Form
Does your child have any pre-existing medical conditions?
Is your child currently taking any medication or receiving any ongoing medical treatment?
Does your child have any Special Educational Needs?
Does your child suffer from any allergies or intolerance's?
If answered yes to any of the above questions, please detail here:

Consents

Student Registration Form
COVID-19
First Aid
Photo Permission
Payment
Should be Empty: