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Student
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Medical Info
Amputee (PADA Medical Form Required)
Scoliosis - Moderate or Severe (PADA Medical Form Required)
Joint Hypermobility Syndrome (PADA Medical Form Required)
Diabetes Type 2
Scoliosis - Mild (PADA Medical Form Required)
Childhood Migranes
Rumination Syndrome (PADA Medical Form Required)
Dyslexia
Coeliac Disease
Nut Allergy (PADA Medical Form Required)
Urge Incontinence
Other or Multiple - Type In Box Below or Email Us
No Record
Hyper Mobility - Mild
Selective Mutism
Absence Seizures Epilepsy (PADA Medical Form Required)
Bladder Issue
ADHD
Allergies
Anaphylaxis (PADA Medical Form Required)
Asthma (PADA Medical Form Required)
Autism
Diabetes Type 1 (Copy of NHS Health Care Plan Required)
Epilepsy (PADA Medical Form Required)
Medical - If selected "Other", please type in here
Photo & Video Consent - For training purposes, shows & performances, marketing, our website, social media platforms, newspapers & casting for televised and theatre productions.
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DISCLAIMER - A parent or legal guardian must complete and sign the Registration Form & PADA Student Membership Form (Disclaimer, Waiver & Compulsory Conditions) upon arrival to the first class.
DISCLAIMER - I also fully understand that all students attending our classes will be fully supervised at all times. Accidents/Injuries may occasionally occur, Phoenix AcroDance Academy cannot be held responsible.
DISCLAIMER - I give permission for my child to be physically spotted in the name of safety to learn correct techniques. At all times a qualified first aider will be on site. Parents/Careers must give permission for staff to give and seek medical treatment
I understand and agree to follow the PADA Standards and the academy's policies.
How did you hear about us?
Referral Program: Please inform us if someone referred you to PADA.
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