STUDENT DETAILS (required)

Student First Name

Student Last Name

Student Age

Student Date Of Birth (DD/MM/YY)

Name Of School/College Attended
(Adults or 4's and under please enter 'none')

CLASS SELECTION (required)
I would like a place for the above student in the following weekly RYDA class/es (Please select all classes if more than one will be attended)

Funky 2-4'sYear R, 1/2 Street Dance - MondayYear R, 1/2 Street Dance - TuesdayYear 3/4 Street DancePrimary Contemporary – Year 3-6Year 5/6 Street DanceYear 7/8 Street Dance - CatmoseYear 9 to 11 Street Dance - CatmoseYear 7-11 Contemporary - CatmoseUppingham - Street Dance Year 7+Advanced Street Dance – Year 16+Musical Theatre ClassAdults Street DanceAdults ContemporaryDad’s That DanceStep 2 It

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

Terms and Conditions

COMMITMENT TO PAYMENT

By completing and returning this form I understand that I am signing up my child/myself to classes during part or all of the academic year 2024-25. I agree to pay termly fees online at www.rutlanddance.co.uk/booknow for every term he/she/I attend. Fees will be paid prior to attending classes or within 7 days of a free trial.

MEDIA CONSENT
We like to photograph classes and take short videos to show progress and share success. All public performances are also photographed and filmed. 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). Please email sarah@rutlanddance.co.uk if you do not wish to provide media consent for you or your son/daughter.

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

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. 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.