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Last Name
First Name
Middle Name
DOB
Home Address
House Telephone:
Mobile No:
Please give details of two (2) contact person in case of Emergency
1 Contact Person:
Relation to Student:
Mobile:
2 Contact Person:
Relation to Student:
Mobile:
Medical Information
Kindly state any Medical Conditions,disabilities or Injuries that you have
Any expericence in dance ?
Please select the classes you wish to sign up for:
Select Your Classes:
Policy Statement and Disclaimer
The Academy of Dance and Art is fully committed to safeguarding the well being of its pupils. Every individual in The Academy of Dance and Art should, at all times show respect and understanding for their rights, safety and welfare. The Academy of Dance and Art will seek to recognise and develop each student's potential and offer appropriate guidance for further progress. No form of discrimination by religion, race, colour, sex, background or any other will be tolerated. Any student of the Academy of Dance and Art is to understand that if at any time they are suffering from any disability, medical condition or injury, temporary or otherwise they must inform the Academy of such condition. The Academy of Dance and Art takes no responsibility for the occurrence of injuries. Please check the below box to show your agreement to the above terms.
I Agree