MIDA: Enrolment Form

Please fill in the form below to provide your details to the MIDA team. We will use the information to:

process your enrolment with the academy
contact you regarding academy information, and
for use as an emergency contact.

All information collected will be stored and used in accordance with the Data Protection Act 1998. If you have any questions, please speak to a member of the MIDA team.

Student Full Name *

First Name Last Name

Student DOB *

Day Month Year

Does the student have any medical conditions that the academy team need to be aware of?

Please provide details of the condition and the measures in place to make sure the student is safe at the academy

Do you need to add a sibling?

Student Full Name

First Name Last Name

Student DOB

Day Month Year

Does the student have any medical conditions that the academy team need to be aware of?

Please provide details of the condition and the measures in place to make sure the student is safe at the academy

Full Name *

First Name Last Name

Relationship to student *

Please describe your relationship to student

Contact Telephone Number (Main) *

Contact Telephone Number (Reserve)

All parents should note that we no longer issue newsletters for the purposes of passing on class/event information. We will in some circumstances signpost to important information in areas visible to parents at our venues on posters.

It is the responsibility of parents/guardians/students to check with teachers regarding forthcoming events or unexpected changes in classes. We will, where possible inform all parents of unexpected changes prior to the event verbally or via email. If you miss a class for any reason, please contact a teacher as soon as possible to check for any information you may have missed.

To make sure you stay up to date with events and information, please sign up to our mailing list by providing your email address below:

Email *

Parental/guardian consent is required for all students up to their 18th birthday. Please read the following statements carefully:

I consent to my child’s photograph being taken for promotional purposes of the McKeown Irish Dance Academy and its partners.

First Aid Statement: Unless there is good reason, First Aid will not be administered without permission of the child’s parent/guardian. If the parent is not at the premises, we will try and make contact via the emergency contact details provided on this form. However, if a child is unsupervised and seriously injured or unconscious, the situation will need to be dealt with immediately. If at all possible, treatment should only be given by a trained First Aider.

I have read the above First Aid Statement and I consent that in the circumstances described, teachers and staff can administer First Aid to my child.

I consent to my child being able to leave the class unsupervised/walk home unsupervised. Only applicable to students aged 14 and over.

Please tick to confirm *

I consent to the above statements.

Are you currently a member of the McKeown Irish Dance Academy?

Yes No

We're always trying to get better at what we do and aim to provide the best possible experience for all of our students. We'd love to hear what you have to say...

How long have you been attending classes for?

Please let us know what you think about our academy (honest feedback appreciated!)

	Very Satisfied	Satisfied	Somewhat Satisfied	Not Satisfied
Quality of lessons
Opportunities to compete
Opportunities to perform
Communication of information
Kindness and helpfulness
Overall academy atmosphere

Please rate us out of 5

What do you think of our pay-up-front options? Do you use them? If not, why not?

Do you have any other comments?

Our aim is to make sure that the academy is a fair, safe and happy community where our dancers can enjoy Irish Dancing but most importantly have fun. In order to ensure the highest standards, we have created policies and conditions to make sure best practice is followed by students, staff and parents.

Please tick the boxes to confirm *

I have read and agree to the MIDA Terms and Conditions 2019 I have read the MIDA Anti-Bullying Policy 2019 I have read the MIDA Child Protection Policy 2019 I have read the MIDA Covid 19 Guidelines 2020 I have read, signed and returned the ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT

Thank you for taking the time to complete this form! By clicking 'Submit' you agree that the details above are up to date, and understand that if the details change, you are responsible for notifying a member of the academy team.

MIDA: Enrolment Form

Emergency Contact Details

Communications and Mailing List

Parental/Guardian Consent

Existing Students Questionnaire

Terms, Conditions and Policies