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Chalfont St Giles Dance Club
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Name of Child
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Your answer
Date of Birth
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DD
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YYYY
Class/Year
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Your answer
Contact email address
*
Your answer
Please give details of any existing medical conditions, illnesses or allergies your child suffers from:
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Please give details of any previous injuries & treatment that may affect training:
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Your answer
Parent/Guardian Name
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Your answer
Relationship to the child
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Address (including postcode)
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Contact phone number
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Your answer
Parent/Guardian/Emergency contact
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Your answer
Please list any persons who may collect your child.. If someone else who is not listed is collecting, you must contact the school office to let them know
*
E.g Joe Bloggs - (Grandma) or Fred Bloggs (Dad)
Your answer
I give permission for photo/video to be taken of my child during dance club.
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We sometimes take photos and videos to help us remember the routine and formations etc. They will not be posted on the internet or on social media.
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No
I give permission for First Aid to be administered.
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A cold compress or plaster may be offered, however anything more will require a phone call to the dancers designated emergency contact.
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No
Have you read, understood and agreed to our GDPR statement?
*
Please visit
https://www.tuffney.com/student-zone
to read our regulations.
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