Michelle Warren School of Dance & Theatre
Enrolment contact details - Once you have completed and submitted this form, you will be contacted by email with information on class times, fees and availability.
Name of CHILD
*
First Name
Last Name
Child's DATE of birth
*
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Child's MONTH of birth
*
January
February
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Child's YEAR of birth
*
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Name of PARENT
*
First Name
Last Name
MOBILE phone number (parent)
*
Email address (parent)
*
example@example.com
Optional secondary email address (email correspondence will not automatically be sent to this address)
example@example.com
How did you find out about the school?
*
Already a student
Referred by a friend
Banner outside the hall
Website
Other
Does your child have any medical condition that I should be aware of?
*
No
Yes
If yes, please give details:
Child photo/video consent - From time to time, we may take and use photographs and/or video footage of the students, for use on the School's website. Do you consent for your child's image to be used in this way?
*
Yes, I give permission and grant full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for publicity of the dance school. This might include, the right to use them in our printed and online publicity and social media.
No, I do not want my child's image to be used.
Submit
Should be Empty: