SPA Summer School Enrolment Form Child

Summer School Registration Form

Complete the form below to secure your place. Invoices will be sent upon completed registration.
Where did you hear about Surrey Performing Arts?

Google Facebook Ad Facebook Surrey Performing Arts Page Facebook Group Website Friend / Word of Mouth

Pupil Details
Days to Book: £25 per day or £100 for all 5 (tick all days). *

Monday 3rd August Tuesday 4th August Wednesday 5th August Thursday 6th August Friday 7th August
Name: *

First Name Last Name
Birth Date: *

Month Day Year

Address: *

Street Address
Street Address Line 2
Town	County
Post Code	Country

School (if applicable):
Registered doctor:
Previous experience (including highest grades taken if applicable):
Any relevant medical or learning needs (including any medications):

Main Parent or Guardian Contact / Billing
Name: *

First Name Last Name

Address (if different):

Street Address
Street Address Line 2
Town	County
Post Code	Country

Email: *
example@example.com
Phone Number *

Area Code Phone Number
Relationship to Pupil:

Additional Emergency Contact
Name:

First Name Last Name
Phone Number:

Area Code Phone Number
Relationship to Pupil:
Terms and conditions
1. Invoices will be sent to the email addressed specified for billing and must be paid by the deadlines specified to guarantee your space.
2. Deposits and fees are non-refundable.
3. In the unlikely event that Surrey Performing Arts has to cancel a session, a refund will be offered.
4. Surrey Performing Arts reserves the right to withdraw a place for your child in the event of violent or disruptive behaviour (non-refundable).
5. Children must wear appropriate clothing for dance and movement that they can be upside down in comfortably (i.e. leotard and leggings). A pupil may have to sit out of a session if dressed inappropriately.
6. Children must be sent in with an appropriate lunch, snack and a filled water bottle.
7. Long hair must be tied up upon arrival.
Permissions and Policies

Please read and tick the following in order to register. Please note that only the photo and email consent is optional as the other permissions are necessary in order to conduct our sessions.
I have read, understood and accepted the terms and conditions *

Yes
I understand that teaching dance may require appropriate physical contact with my child and give permission for a teacher to do so in accordance with safe dance teacher practice *

Yes
I consent for a qualified first aider to administer first aid and/or my child's prescription medication (with the prescription label attached only and clear instructions) if necessary. Please list anything above in the medical details part of form *

Yes
I give permission for photos and/or to be taken of my child and allow them to be shown without his/her name to be used in future marketing material by Surrey Performing Arts *

Yes No
I would like to be added to the Surrey Performing Arts email newsletter list to be informed about future classes and workshops *

Yes No
Once you submit your application, we will email you your invoice to complete registration.

See you soon!

Rebecca Davies-Sandall BSc(Hons) DDI DDE MBTDA P.CertLAM AAC
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Summer School Registration Form

Terms and conditions

Permissions and Policies