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The Elite Academy of Dance Enquiry
By completing this form you are providing us with the information we need to provide you with the correct class details for your child.
Childs Name
*
First
Middle
Last
Childs DOB
*
DD
/
MM
/
YYYY
Email address to reply to
*
Phone
*
We will Text to confirm an email has been sent so Junk folders can be looked at if email has not arrived :-)
Students School year group
*
Please select
Walking to age 3
Pre school (School entry 2024)
Reception
year 1
year 2
year 3
year 4
year 5
year 6
year 7
year 8
year 9
year 10
year 11
year 12
year 13
Left Academic school
Medical Conditions
Please state any medical conditions the student has that we should be made aware of when attending the trial
Previous Dance Experience
Please state any dance experiece the student has such as school or academy and grades acheived
Branch
*
Please select
West Moors, Ferndown
Subjects
*
Ballet
Tap
Modern
Lyrical
Acrobatics
Additional Needs
Petite Elites (parent & toddler walking to age 3)
Ninja Acrobatics
Pre school (starting school Sept 2024)
Please select those subjects you wish to register for
Is the above named student a Ukraine refugee?
*
Yes
No
Were you recommended to us?
*
Yes
No
If yes, by whom?
Did you hear about us from a leaflet?
*
Yes
No
If yes, what is your postcode as we are incentivising our students to deliver leaflets :-)
*
Or, where did you hear about us?
Questions you would like to ask.
Conditions
I understand that by completing this form I am giving The Elite Acacemy of Dance my permission to use the data to enable them to provide the most appropriate class details and that the form will be held on file for a period of 3 months or until full enrolment.
*
Yes
Mailing list
I would like the Elite Academy of Dance to retain my contact information to provide me with details of promotions and other dance activities I may be interested in.
*
Yes
No
Signed
*
Date Time
*
DD
/
MM
/
YYYY
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