Street Dance
After School Club

STUDENT DETAILS (required)

Student First Name

Student Last Name

Student Age

Student Date Of Birth (DD/MM/YY)

Students Class

ADDRESS (required)
Address line 1

Address line 2 (optional)

City/Town

Postcode

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)

PARENT/GUARDIAN DETAILS (required)

First Name

Last Name

Relationship to Student

Emergency Number

Email Address for Correspondence

Terms and Conditions

COMMITMENT TO PAYMENT
By completing and returning this form I understand that I am signing my child up for weekly classes. I agree to pay the termly fee online via bank transfer for every term he/she attends. Fees will be paid prior to attending class.

MEDIA CONSENT
Every now and again we like to photograph classes to show progress and share success. Names of students or any other personal information will NOT be linked to our images. Images and videos may be used in future marketing (Please see our Privacy Policy for further info)

DATA PROTECTION ACT 1998
If you wish to, you can sign up to our mailing list at RYDA to keep up to date with classes and events. This can be done by you completing the mailchimp sign up process to 'opting 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. THIS IS A DOUBLE OPT IN PROCESS - 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 check the box below to agree to our terms and conditions above

I agree

You can view our Privacy Policy Here.