Registration Form

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If Other, Specify Below

Please state how many days you are registering for?

Child’s First name *

Child's surname *

House/Flat number *

Address *

Town/City *

Postcode *

Country

Age *

Date Of Birth *

School Year *

Are there any medical conditions or special educational needs we should be aware of? *YesNo

If you answered yes to the medical question, please state and include any interventions required

I consent to Whiteoak Academy holding a copy of, and processing information regarding my child's medical condition in the case of emergency *YesNoNot applicable

Previous dance training, please specify below: *

Registering parent's first name *

Registering parent's surname *

Email *

Parent's phone number *

Emergency contact name *

Emergency contact number 1 *

Relationship *

Pick up password- This will be used if someone else apart from the parent is picking the child up *

Images: From time to time we may arrange for photographs to be taken by staff of Whiteoak Academy to be used in publicity material. I consent to any photographs containing my child/children being used for this purpose. This includes the use of all images in both printed and electronic publications for use on our website and social media pages *YesNo

Filming: I consent to a professional video to be taken of any of our performances, which may be sold to parents, family and friends of the Dance Studio. *YesNo

Marketing: I would like to receive information regarding Dance Studio Events, Workshops, Summer Schools and newsletters providing information on child development and well-being *YesNo

Social Media: I consent to my child being included in class/achievement photos posted on Instagram, Facebook and/or Twitter *YesNo

Withdrawal from the School(Saturday & After School Club): I understand notice covering withdrawal of a pupil from the School must be given in writing a month in advance of billing, otherwise, the full months fees are payable *YesNo

Privacy policy

CLICK HERE to read our privacy policy

I have read and understood the privacy policy *YesNo

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