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Child's Name *
Child's Name
Does your child suffer from any injury/illness that you feel we should be aware of? *
In an emergency do you give permission for emergency treatment if required? *
Do you give permission for your child to leave unaccompanied from the venue? (Children over 12yrs only)
Do you give permission for your child to be escorted to the toilet by someone other than yourself or those listed above? (For our younger members)
Are you happy for film & photographs to be taken in class and performances to be used for marketing and social media purposes? *
Are you happy to be added to the LRSD email marketing list? *
You will receive termly newsletters and other information such as new classes, holiday workshops and other opportunities for dancers.
I am aware I need to give 1 MONTHS WRITTEN NOTICE to stop classes. *
Signature *
I Parent/Guardian of the member confirm that this Membership Agreement and any subsequent Membership entered into as a result is, and will be, subject exclusively to LRSD membership Terms and Conditions, a copy of which I acknowledge having received.