Enrolment

Once you have taken part in a trial class, if you wish to join the Jamie Lee Dance Academy please fill in all sections of this form. Once your form has been processed, you will receive a Welcome Letter and your first invoice.

If you have any queries, please email info@jamieleedanceacademy.com

Date of Free Trial Class (dd/mm/yyyy) *

Which class did you trial (eg Pre-primary Ballet & Tap/Senior Musical Theatre etc) *

Name of Student *

First

Last

Date of Birth of Student (DD/MM/YYYY) *

Age of Student *

Please state which classes you wish to attend (incl days & times) *

Medical Information - Please note any medical conditions, allergies and/or medication *

Parent/Guardian Details *

First

Last

Relationship to Student *

Home Address *

Contact Number *

Email *

Confirm Email

To be environmentally friendly, we email invoices and correspondence

CONSENT TO RECEIVE INFORMATION BY ELECTRONIC MEANS (EMAIL OR SMS) *

Please tick this box if you consent for us to contact you by email or text with information regarding classes, invoices, shows, rehearsals, parent committee events and newsletters etc. We will process your data in accordance with our Privacy Policy [https://www.jamieleedanceacademy.com/privacy-policy/]. You may withdraw this consent at any time by emailing us.

Additional Emergency Contact Details - Please state Name, Surname, Relationship to Student, Address, Email and Contact Number *

Photography

I give consent
I do not give consent

From time to time your child is likely to be involved in events, shows, lessons and outings where photography or videos may take place. These photographs and/or videos may be used for publicity and/or marketing purposes. Please tick this box to give your consent to your child being photographed and/or filmed. You may withdraw this consent at any time by emailing us.

How did you hear about us *

Payment of Invoices *