Your Name

First Name

Last Name

Child's Name *

First Name

Last Name

Does your child suffer from any injury/illness that you feel we should be aware of? *

YES

NO

Are you happy for film and photographs to be taken during the workshops to be used for marketing and social media purposes? *

YES

NO

Information collected by this form will be held for a limited time in accordance with GDPR. From time to time LRSD would love to let you know about upcoming events, workshops, shows, competitions, offers and other school news. Full details on how we use data can be found in our privacy policy. I consent to having LRSD collect my name, phone number & email address. Please choose how you would like to stay in contact with LRSD *

PHONE

EMAIL

TEXT MESSAGE

Which WORKSHOP(S) are you booking *

LRSD ENCANTO WORKSHOP - Kings Hill 15/8/22

LRSD SUMMER WORKSHOP - Leybourne 29/7/22

LRSD SUMMER WORKSHOP - Leybourne 22/8/22-26/8/22

I understand and accept that Lucy Robins School of Dance will not accept liability for any injury, harm, damage or loss received in the general course of a dance session. I have stated any injuries/illnesses/health concerns that LRSD should be aware of. *

First Name

Last Name