Alliance Dance Academy Registration Form

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Hi there!
We’re so happy you’re looking at signing your child up to start Alliance Dance Academy and hope they love our school as much as we do!
Before we begin we just ask you to answer the following questions so that we get to know you and your child!

Remember every time you try a new class the trial is free! Miss Lucy will contact you after your trial lesson to see if you would like to sign your child up to continue the classes!

Thank you,
Miss Lucy

Email *

Parent Name *

Student Name *

Student Age *

Classes Wanting to Trial *

Little Dots Ballet and Tap (3-5years)

Primary Ballet (Reception-Year 3)

Primary Tap And Modern (Reception-Year 3)

Junior Ballet (Year 4-Year 7)

Junior Tap and Modern (Year 4-Year 7)

Senior Ballet (Year 8+)

Senior Tap and Modern (Year 8+)

Junior Street Dance (Year 2- Year 6)

Junior Lyrical (Year 2- Year 6)

Senior Street Dance (Year 7+)

Senior Lyrical (Year 7+)

Little Dots Ballet (2-4 years)

Adult Jazz Class

Required

Email Address *

Contact Number (ICE - please give 2 contacts) *

Does your child have any medical needs or illness’ we need to be made aware of? If yes please expand *

Does your child take any medication ? (If yes please expand) *

Does your child have any dance experience ? If yes what have they previously done? *

How did you hear about us? *

Flyers

Facebook

Instagram

Word of Mouth

Signage

If answered word of mouth please leave name of student/ parent *

In classes photos and videos may be taken. Photos may be used on social media for marketing purposes do we have permission to use their photos for marketing purposes? *

Yes

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