Street Dance

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Street Dance

Please fill in this form to register your interest in the street dance course.

4 FREE classes at North East Sport

Time: 10:00-12:00

Venue: The Rotunda, Monkwearmouth Academy, Torver Crescent, Sunderland, SR6 8LG

Age: 8-11 (School Year 3-6)

Please note you must be able to commit to all of the dates below

Saturday 28th January 2023
Saturday 4th February 2023
Saturday 11th February 2023
Saturday 18th February 2023

Email *

Name of parent/guardian
(Please state your first name and surname) *

Emergency contact number *

Name of Child
(Please state your child's first name and surname) *

Child's age *

Any medical conditions, allergies or neurodiversity. We have included neurodiversity in this question to ensure the environment is supportive and inclusive for your child. If none please answer NONE *

Photographic/Video Consent
Please read carefully.
In order to be able to participate in the workshops you MUST consent to your child being videoed, as it is a vital part of the instructors studies.
(First check box. This MUST be ticked)

We will only share this on social media or use as part of advertising if you give further consent to that happening.
(Second or third checkbox depending on your option)

All safeguarding controls will be adhered to when sharing your child's image.

I give permission for my child to be videoed as part of the workshops for the purpose of the instructor studies

I give my permission for my childs image to be used on social media and/or as part of advertising for Friends of Fulwell or North East Sport.

I DO NOT give my permission for my child's image to be used on social media or in advertising.

Required

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