Registration form

Student name:
Name of Parent or Guardian:
Address:
Post code:
Home Tel. No.:
Mobile No.:
Emergency Contact Details:
Email Address:
Date of Birth (if under 18):	(DD/MM/YYYY)
Allergies, health problems or anything we should be aware of: (This will be treated in confidence)
How did you hear about the Academy?
I wish to enrol the above student from:	(DD/MM/YYYY)
in the following classes:	- Ballet - Contemporary - GCSE Dance - Jazz - Mini Mods - Modern - Musical Theatre - Tap - Tap (Adult) - Voice Coaching - Street Jazz
Terms I accept and acknowledge that fees are due prior to the first lesson of each term and that a written term’s notice or the term’s fees in full, is a requirement in the event of withdrawal of any pupil from any class. New students to The Academy must give notice by half term if they plan to terminate lessons following their 1st term. Notice will be confirmed by The Academy in writing. Payment details regarding the £6 non-refundable registration fee will be emailed to you on receipt of this completed form.	- I agree to terms
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To download a registration form, click here: Registration form

Please print a copy of the Registration Form and send it back to us at the address below: