ICONIC Summer Schools 2019 @ Exodus, Coleraine
It is our goal to create a welcoming environment, where every student, regardless of ability or skill level can learn, be confident and above all, have fun! Our classes are geared towards both boys and girls and during our summer school we will be taking time to concentrate on improving technique, developing improvisation skills while instilling confidence for great stage presence and style for a flashmob at the end of the week. Details of this performance will follow.

Please indicate the class you would like to sign your child up to and also if you would like them to receive a tee.
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Summer School Option *
Required
Class *
Required
Student Name *
Date of Birth *
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Age
Name of Parent/Guardian *
Email (of Parent/Guardian if student is under 18) *
Address (inc postcode)
If you would like a Tshirt (£8 each) please indicate the size here
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Medical Information (please indicate if your child has any medical requirements or needs that would be important for us to know) *
Name of Emergency Contact *
Relationship to Young Person *
Phone number *
Name of Alternate Emergency Contact *
Relationship to Young Person *
Phone Number *
Declaration (if applicant is under 18 this must be signed by parent/guardian): I have read and accept the Terms and Conditions stated below and commit to a full term at ICONIC Street Dance. I will inform the instructions of ICONIC of any important changes to my or my child's health, medication or needs. In the event of illness, having parental responsibility for the above named child, I give permission for medical treatment to be administered where considered necessary by a nominated first aider or by suitably qualified medical practitioners. If I cannot be contacted and my child should require emergency hospital treatment I authorise a qualified medical practitioner to provide emergency treatment or medication. Please write below yes or no. *
I give explicit consent for the above named student to be photographed and/or videoed during ICONIC classes or events for promotional purposes at ICONIC? (which may be used on facebook, instagram, our website, youtube etc). Please write yes or no below. *
Due to the nature of a Flashmob there is a very high chance that the public will record the performance without permission of which we cannot control where they publish it. If you are uncomfortable with this indicate here and we will not include your child in the performance. Write yes below to include your child and no to not include your child in the performance. *
I give explicit consent for ICONIC Street Dance to file my information on their database. Please write yes or no below. *
I give explicit consent for ICONIC Street Dance to use my information for regular important class updates. Please write yes or no below. *
I give explicit consent for ICONIC Street Dance to use my information for future marketing purposes. Please write yes or no below. *
Date Signed *
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Payment Method (please use your child's name as a reference) *
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