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Bath School of Dance Adult Dance Classes Booking Form
Please complete this form as fully as possible. Should you have any questions about the form or if you require this in an alternative format, please contact us at
bathschoolofdance@gmail.com
. Many thanks!
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Classes
Please select the class(es) you would like to attend this term
*
Adult Beginner Ballet (Thursday 6-7pm)
Adult Ballet and Repertoire (Thursday 7-8pm)
Adult Contemporary Dance (Thursday 8-9pm)
Required
Registration information
Full name
*
Your answer
Email address
*
Your answer
Telephone number
*
Your answer
Postal address including post code
*
Your answer
Date of birth
MM
/
DD
/
YYYY
Gender
Female
Male
Non-binary
Other:
Clear selection
Do you have any impairments or allergies we should be aware of (including asthma, diabetes, epilepsy, allergies, physical disabilities, mental health impairments or special educational needs)?
Yes
No
Clear selection
If yes, please give details, including any medication you are currently taking, if helpful. We will use this information to discuss with you any adjustments to ensure a safe and welcoming environment.
Your answer
Do you have any current or past injuries we should be aware of?
Yes
No
Clear selection
If yes, please give details
Your answer
If you would like to provide us with an emergency contact, please provide details below (Name, Email address, Mobile number).
Your answer
Consent
We may take and use photos and videos of our dancers in class for educational purposes. We may also like to share photographs and videos on our website, through social media and marketing materials. We will not release any personally identifiable information in association with the images/video such as dancer names and contact details. Please provide consent by checking one or multiple boxes below. (You may withdraw this agreement at any time by email to
bathschoolofdance@gmail.com
)
*
Yes, I grant permission for use of photos/video on the Bath School of Dance website
Yes, I grant permission for use of photos/video on social media
Yes, I grant permission for use of photos/video in marketing materials (e.g. posters, leaflets)
No, I do not grant permission for use of photos/video for any of the above
Required
Terms and Conditions and Covid-19 Safety Guidelines
Please read the Terms and Conditions and Covid-19 Safety Guidelines documents which can be accessed via the following links:
Terms and Conditions for adult dancers:
https://drive.google.com/file/d/1Iai9wphxEREDQmlVEn4gr8K3LlbpVvAG/view?usp=sharing
Covid-19 Safety Guidelines for adult dancers:
https://drive.google.com/file/d/1Eza3l6jO9lJ03cEvNVrkeas0-juU7fAD/view?usp=sharing
Please confirm your agreement to the Terms and Conditions and Covid-19 Safety Guidelines
*
I agree to the Terms and Conditions and Covid-19 Safety Guidelines
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