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Student
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Surname
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Unspecified
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medicals
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7-8
Large
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14-15
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9-11
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3-4
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Parent/Carer Name (Under 18's only)
Secondary Contact Name
Secondary Contact Mobile
Emergency Contact Name
Emergency Contact Telephone
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I agree to my child being photographed / recorded in productions, workshops and rehearsals for prosperity, marketing or advertising purposes:
No
Yes
Customer
First Name
Surname
Email
Password
Password confirmation
I can confirm I have read the DPA Terms & Conditions & DPA Privacy Policy
I agree to pay termly for my child’s dance lessons. I am aware that late payments will incur a 5% (minimum £5) late fee to be added.
Yes
No
I understand that there are 6 terms per academic year and I will be invoiced for each term at the start of that term.
Yes
No
I have been made aware of the Child Protection Policy
Yes
No
I agree to DPA Academy of Dance & Performing Arts contacting me via my home address, telephone and email
Yes
No
I agree that the information provided is correct and may be entered onto a secure database owned by DPA Academy of Dance & Performing Arts and will not be shared with anyone else.
Yes
No
I understand that I will be invoiced for term fees, exams, workshops, costumes, show fees.
Yes
No
I agree to the
Terms & Conditions
and
Privacy Policy
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