Ledger Dance Studios

Please complete this Registration form for your pupil. The following data is for the purpose and use of Ledger Dance Studios only and will be used primarily for the safeguarding and welfare of the pupils in our dance school. This data may be shared with teachers, student teachers and licenced and DBS cleared chaperones during shows and competitions for the purposes of child protection. It may also be shared with our association - International Performing Arts & Theatre if you are taking awards. This disclosure of information remains confidential and you have the rights to request to remove all data at any given time. Please keep all information up to date and if there is any changes please let us know so that we can change the relevant data.

* indicates required

Emergency Contact 1 First Name *

Emergency Contact 1 Last Name *

Emergency Contact 1 Phone Number *

Emergency Contact 2 First Name *

Emergency Contact 2 Last Name *

Emergency Contact 2 Phone Number *

Email Address *

Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Name of Child 1 *

Child 1 Birthday *

Name of Child 2

Child 2 Birthday

Name of Child 3

Child 3 Birthday

Medical requirements, allergies or Health issues

Photograph consent *

By typing 'yes' you are confirming that you are happy for photographs and footage to be taken and used of the pupils for advertising and marketing forms including web and social media