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Student Name:(Required)

First Middle Last

Date Of Birth:(Required)

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Please provide details of any pre existing medical conditions and the treatment or medications your child takes for these.

Primary Guardian's Name:(Required)

First Last

Primary Guardian's Telephone Number:(Required)

Secondary Guardian's Name:

First Last

Secondary Guardian's Telephone Number:

Additional Emergancy Contact's Name:

First Last

Additional Emergancy Contact's Telephone Number:

Parent's Email(Required)

Enter Email Confirm Email

We are trying to use less paper, do you agree to your email being placed on the G-Force Dance Academy distribution list and this being the primary way of contacting yourselves for anything dance school related.(Required)

Yes

In class we sometimes take photos and or videos. Do you agree to these being used on our social media pages, in advertising and website?(Required)

Yes

G-Force Dance Academy will need to share some basic personal information with exam awarding bodies (Royal Academy of Dance, Imperial Society of Teachers of Dance & Acrobatic Arts) such as name and date of birth. Please note that without sharing basic information, your child will not be able able to obtain a pin number (required by OFQUAL) in order to take part in exams. Do you agree with the information being shared with the awarding bodies?(Required)

Yes

In order to obtain performance licenses for our shows, G-Force Dance Academy is required to hold basic information about your child and should a child protection issue arise, share that information with the local education authority. Please note that if you do not wish this information to potentially be shared with the local authority that your child may not be permitted to take part in performances. Do you agree with sharing information with the local authority?(Required)

Yes

I agree to inform G-Force Dance Academy of any changes to my child's medical information which may affect their ability to participate safely in dance practice.(Required)

I agree.

Sometimes during dance training and choreography, physical contact may need to take place between a teacher or another student, or between students, for example when explaining the muscle groups required in maintaining good posture, flexibility, turn out and safe dance technique or when partnering or spotting during acro. This will always be done in a safe & respectful manner.(Required)

I agree.

I understand that my child will be expected to uphold the ethos of G-Force Dance Academy, being respectful to teachers, chaperones and other students, attending class in the appropriate uniform and correct footwear for the class they are attending(Required)

I agree.

I understand that G-Force Dance Academy has to operate as a profitable business, therefore fees need to be paid at the start of each half term (preferably by bacs payment) and that unfortunately no discount will be given for classes missed unless they are cancelled by G-Force Dance Academy themselves and only if those classes are unable to be rescheduled by G-Force Dance Academy to take place at a different time or via zoom(Required)

I agree.

If there is anything else you wish to inform G-Force Dance Academy about please do so here?

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Today's Date:(Required)

Signature(Required)

Your Name
Your Name
Your Name

Registration form