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AJ Classes
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Term Dates 2020
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Student Member Registration
Which class(es) is you child joining?
*
PARENT / GUARDIAN
First Name
*
Surname
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone Number
*
Home/Work Number
*
Emergency number (if others numbers do not answer)
*
Email Address
*
STUDENT
First Name
*
Surname
*
Date of Birth
*
DD
MM
YYYY
Gender
*
IMPORTANT Disability/Allergy/Learning Needs (please give details)
We only share medical/disability information when it necessary to ensure safety and/or participation in sessions.
Do you give permission for us to share medical/disability information with authorised staff if needed (e.g. your student's teacher)
*
Please Select....
Yes
No
Do you allow them to go home without supervision?
*
Please Select....
Yes
No
GENERAL
I am happy to receive infrequent information via email regarding further AJ Dance and Fitness courses, shows and events.
*
Please Select....
Yes
No
This data will be stored with GDPR compliant company Membermeister.
How did you hear about us
AJ Dance and Fitness have my permission to take photos/video during classes, workshops, events, and performances for the purposes of marketing, publicity and/or archiving
*
Please Select....
Yes
No
These will never be shared with any identifying information (age, location etc.) There may be times where we will share names but only with the explicit consent of the parents.
Some attendees at events may film/take photos for their own personal use (e.g. parents of other participants). Do you consent to this?
*
Please Select....
Yes
No
Please understand in the interests of Data Protection, by selecting no, we will not be able to allow anyone to record lessons/events in which your you appear.
*
I have read, understood and agree to
AJ Dance and Fitness’s Privacy Notices and Terms and Conditions
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