STUDENT DETAILS (required)

Student First Name

Student Last Name

Student Age

Student Date Of Birth (DD/MM/YY)

Name Of School/College Attended
(Adults - Please enter 'Life')

CLASS SELECTION (required)
I would like to reserve a place for the above student in the following weekly RYDA class/es

Year 1/2 Street DanceYear 3/4 Street DancePrimary Contemporary – Year 3-6Year 5/6 Street DanceKS3 Street Dance - CatmoseKS3 Contemporary - CatmoseUCC Street Dance – Year 7-11UCC Contemporary – Year 7-11KS4 Street Dance - CatmoseKS4 Contemporary - Catmose16+ Street Dance – RYDCYouth Show ChoirAdults Show ChoirAdults Street DanceAdults ContemporaryDad’s That Dance

ADDRESS (required)
Address line 1

Address line 2 (optional)

City/Town

Postcode

PARENT/GUARDIAN DETAILS (required)
(Adults - please enter next of kin in case of an emergency)

First Name

Last Name

Relationship to Student

Emergency Number

Email

MEDICAL INFORMATION
If your child has any known medical requirements/conditions or learning difficulties please provide full details here. This is essential so we are able to give the best care to our students. (leave blank if not applicable)

Please select a box
I am a returning studentI am a new student

By completing and returning this form I understand that I am committing my child / myself to classes for the academic year 2019-2020. I agree to pay fees, per term as outlined in fee letters for each term attended.
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I consent

DATA Protection Act 1998
The above information will be kept on the RYDA database and used for future correspondence only. Details will NOT be passed on to third parties.

Please tick to confirm that you consent for RYDA to hold your information on file.
I consent

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