New Customer Registration Form

Registration Form

Please fill in the form below.
Parent / Carer Name*

PrefixFirst NameLast Name
Child 1 Name*
Classes attended (please state day & time of class)
Child 2 Name
Classes attended (please state day & time of class)
Child 3 Name
Classes attended (please state day & time of class)
Are there any medical or other issues we need to be aware of?
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Terms & Conditions - please tick each box to confirm*

Vibe Dance Academy must be informed of any illness or injury which may affect your child being able to take part in classes safelyTerm fees are payable by the date shown on the fees letter - we are unable to hold your place in a class if payment is not received on timeRegulation uniform must be worn at all times - please see below for clarificationHair must be tied back neatly at all timesNo jewellery should be worn to class - earrings that cannot just be removed must be covered with plasters or tapeStudents should bring a water bottle with lid into classNo other food or drink is permitted in Studio 1 - food is only permitted in Studio 2 during scheduled breaktimesNo outdoor shoes are permitted in either studio - adults please help us to keep the floor suitably clean by not coming into the studio with shoes onNo access is permitted to either studio outside of scheduled class timesVibe equipment should only be moved by a member of the Vibe team - please do not allow children to play with the equipmentAny missed classes must still be paid for, and are non-transferableAll accidents must be reported to a member of the Vibe team
Regulation Uniform is as follows:

Babyballet: we do not insist on a set uniform to attend babyballet classes, however Movers students wishing to take part in exams or shows will require a pale pink leotard & skirt, pink ballet shoes and silver sparkly tap shoes.

Vibe - Ballet / Tap / Disco Preparatory - Grade 1: Raspberry pink leotard and skirt, white ankle socks, pink ballet shoes and silver sparkly tap shoes. Optional black crossover cardigan / black leggings in colder weather

Ballet / Tap / Disco Grade 2 upwards: Black leotard, pink tights, pink ballet shoes and black tap shoes with heel taps. Optional black crossover cardigan / black leggings in colder weather

Musical Theatre - Black Vibe vest top, plain black or Vibe leggings.

Acro - raspberry pink OR pink holographic leotard, black shorts.

Personalised Vibe hoodies are available to purchase if desired.
GDPR Consent - I acknowledge that Vibe Dance Academy will use the contact details provided to keep me up to date with relevant information, news and events at Vibe. I consent to this information being shared with the IDTA for examination purposes*

Confirm
Photo & Video consent

I agree to allow photos and videos of my child(ren) taking part in sessions and events at Vibe Dance Academy being used for marketing purposes on the Vibe Dance Academy website and social media.
Date:
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