Dance Academy Application Form
Personal information, submitted via our website by e-mail or electronic form, will be treated as confidential in line with the principles of the Data Protection Act. Information which you provide us with will not be used in any way other than for its original purpose. You will not receive unsolicited paper or electronic mail as a consequence of submitting an e-mail or electronic form unless we explicitly ask for and receive your permission.
Name: *
Student's name
Your answer
Surname: *
Student's surname
Your answer
Date of birth: *
Your answer
Address: *
Provide full address, including postcode
Your answer
Telephone no: *
Your answer
Mobile no: *
Your answer
E-mail address: *
Your answer
Health condition: *
Your answer
School attending: *
Your answer
Dance disciplines: *
Choose one or more disciplines
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