Adult's Registration Form
First / last name of student
Date of Birth
DD
/
MM
/
YYYY
Contact number
Please note that we use WhatsApp as our primary form of contact. If you do not wish to be contacted in this way, please email dancetrix@yahoo.co.uk
Email address
Address
Details of any medical conditions, allergies or pre-existing injuries
Please note that it is your responsibility to inform us of any conditions that may be identified or diagnosed while you are enrolled at our classes. Dance Trix take no liability for injuries that are sustained during class.
Emergency contact name
Emergency contact number
Will only be used if necessary to contact next of kin while you are attending a class
Signature
Please sign below to confirm that:
1. You have completed this form with the most up to date information and all necessary details that would be required by Dance Trix in case of an emergency.
2. The information you have provided will be valid for the duration of your time as a student at Dance Trix. It is your responsibility to update both principals in writing of any changes to these details.
3. You understand that Dance Trix Ltd is run by two principals (Katie Rix and Leanne Curry) who hold relevant insurance and are qualified up to Licentiate level with the Professional Teachers of Dancing. From time to time, classes are run or assisted by Student Teachers or Class Assistants, all bearing the necessary experience and/or qualifications required for the role.
4. You agree to all of our
terms and conditions
(these can always be found on our website and in our studio noticeboard)
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