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DISPLAY DATES
MASTERCLASS REGISTRATION FORM
Home
Classes
Classes for Kids
Dance, Act and Sing
Classes for Adults
Dance Fitness
Session Times
Prices
Summer School
Summer Smash Out Page
Summer Smash Out Registration Form
Summer Smash Out Payment Agreement
Summer Smash Out Behaviour Agreement
Summer Smash Out Important Information
Enquiries
General Enquiries
Parties & Special Occasions
Registration Form
Dance Styles
Policies & Procedures
Health & Safety Policy
Safeguarding Policy
Merchandise
ShowOff Dance Merchandise
Show Signup Form
Photos & DVDs
DISPLAY DATES
MASTERCLASS REGISTRATION FORM
CLICK HERE TO ENQUIRE ABOUT A SPACE AT SHOWOFF DANCE SUMMER SMASH OUT
☀️ Summer Smash Out ☀️
Showoff Dance Summer Smash Out
Registration Form
This is
NOT
an enquiry form.
Please do not complete this form unless you have been offered a space at
Showoff Dance Summer Smash Out
.
CHILDS NAME
CHILDS DATE OF BIRTH
2nd CHILDS NAME (if applicable)
2nd CHILDS DATE OF BIRTH (if applicable)
3rd CHILDS NAME (if applicable)
3rd CHILDS DATE OF BIRTH (if applicable)
4th CHILDS NAME (if applicable)
4th CHILDS DATE OF BIRTH (if applicable)
PARENT / GUARDIAN / EMERGENCY CONTACT NAME
PARENT / GUARDIAN ADDRESS
PARENT / GUARDIAN POSTCODE
Parent / Guardian Mobile Contact Number:
Parent / Guardian Email Address
Emergency Contact Name (if different from above)
Emergency Contact Address (if different from above)
Emergency Contact Numbers (if different from above)
Does Your Child Have Any Known Medical Conditions
YES
NO
Please Write The Name Of The Child And List (if applicable)
Is your child / are your children allergic to any products which may be used for arts and crafts?
YES
NO
Please Write The Name Of The Child And List (if applicable)
Is your child / are your children allergic to any food or drink
YES
NO
Please Write The Name Of The Child And List (if applicable)
Does your child / do your children have any prescribed medication
YES
NO
Do you considered your child / your children fit for Showoff Dance Summer Smash Out
YES
NO
Have you / your children or anyone living with you returned from any other countries in the last 14 days.
YES
NO
Have you / your children or anyone living with you been in close contact with anyone who has travelled to any other country within the last 14 days.
YES
NO
Have you / your children or anyone living with you experienced any cold or flu like symptoms in the last 14 days (to include fever, cough, sore throat, respiratory illness, difficulty breathing)
YES
NO
Punctuality / Warm Up & Cool Down
Punctuality / Warm Up & Cool Down: I understand that if my child is late and does not do the warm up or cool down procedure, this is solely my decision and Showoff Dance will not be held responsible for any injuries caused.
Photographic Indemnity
Photographic Indemnity: I give permission for Showoff Dance to allow any photographic or video material whilst in classes or performing, (please note this may or may not be used for public promotional use.)
Belongings & Personal Wellbeing:
Belongings & Personal Wellbeing: I understand that Showoff Dance will not be held responsible for the loss or damage of any personal belongings, should my child wish to bring anything of value to Summer School, it is my child’s responsibility to keep that safe.
Sharing Of Information / Track & Trace:
Sharing Of Information / Track & Trace: I understand that Showoff Dance will not share my information with any third party companies other than for the purpose of track & trace as required by law due to Covid-19 measures set in place.
By signing this I agree to all of the above and confirm that all of the information I have given is accurate and true. I agree to inform Showoff Dance immediately if there are any changes regarding this
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