Weymouth Dance Studio registration, GDPR and image consent form

Your first name(required)

Your surname(required)

Your email address(required)

Your phone number(required)

Alternative phone number we can contact in an emergency (if you don’t answer the one above)(required)

Your address(required)

Your relationship to the student(required)

Student’s first name(required)

Student’s surname(required)

Student’s date of birth(required)

Student’s gender(required)

Student’s college, school or nursery(required)

Disability/allergy/learning needs (please give details)

Do you give permission for us to share medical/disability information with authorised staff if needed (e.g. the student’s teacher)? Yes

No

Do you allow this student to go home without supervision? Yes

No

For a new student: please give us details of any dance examinations taken elsewhere

Please tick this box if you CONSENT to email updates from Weymouth Dance Studio.

Please tick all that apply.(required) Google search

Friend or family recommendation

Facebook

Instagram

Other*

*If you replied ‘Other’ to the last question, please tell us here how you heard about us.

By selecting this box I GIVE CONSENT for Weymouth Dance Studio to take photographs/film my child while they are participating in studio activities

Please also tick these boxes if you CONSENT to the use of photo/film of your child on Weymouth Dance Studio’s: Website

Facebook

Instagram

YouTube

Flyers/posters

Please tick the box if you CONSENT to filming of any Weymouth Dance Studio production for parents to purchase as a DVD.