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 (Please select all classes if more than one to be attended)

Year 1/2 Street DanceYear 3/4 Street DancePrimary Contemporary – Year 3-6Year 5/6 Street DanceYear 7/8 Street Dance - CatmoseYear 9 Street Dance - CatmoseYear 7-9 Contemporary - CatmoseUCC Street Dance – Year 7-11UCC Contemporary – Year 7-11Year 10/11 Street Dance - CatmoseYear 10/11 Contemporary - Catmose16+ Street Dance – RYDCYouth Musical TheatreAdults ChoirAdults Street DanceAdults ContemporaryDad’s That DanceStep 2 ItHayleigh's HeelsOne Off Workshop

ADDRESS (required)
Address line 1

Address line 2 (optional)

City/Town

Postcode

Email Address for Correspondence

MEDICAL INFORMATION
If you or 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

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

First Name

Last Name

Relationship to Student

Emergency Number

COMMITMENT TO PAYMENT

By completing and returning this form I understand that I am signing up my child / myself to classes for the academic year 2020-21. I agree to pay termly fees online at www.rutlanddance.co.uk/booknow within 7 days of the start of each term.

I agree

TRACK AND TRACE - COVID-19

We are required by law to provide details of our attendees for the government track and trace initiative. Please tick this box to consent to your details being passed on and to confirm you or your son/daughter WILL NOT attend any class if you/they are showing corona virus symptoms.

I agree to details being forwarded for track and trace and confirm I/my son or daughter will not attend class if he/she or anyone in our family unit are displaying coronavirus symptoms.

I agree

MEDIA CONSENT
Every now and again we like to photograph classes to show progress and share success. All shows we produce and public performances are also photographed and most often filmed. Names of students or any other personal information will NOT be linked to our images.

I agree to give full video and photography consent – This may be used in future marketing (Please see our Privacy Policy for further info)

I consent

DATA PROTECTION ACT 1998
PLEASE NOTE - All future correspondence from RYDA will be sent out by email to avoid paper changing hands.

It is therefore essential that you complete the mailchimp sign up process to 'opt in' to our mailing list, we are not able to add you ourselves due to GDPR. Once you click SEND below you will be taken to a new page titled 'Complete Registration'. By re-entering your name and email address you will be added to our mailing list. Please then look out for an email from mailchimp which will ask you to 'opt in' to our list and ensure you complete the process.

Your information will be kept by mailchimp 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

You can view our Privacy Policy Here.