Your Name *

First Name

Last Name

Gender of Child *

MALE

FEMALE

NON - BINARY

RATHER NOT SAY

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

YES

NO

Please specify which class you would like a trial for *

BABIES & PRE-SCHOOL (1-4yrs)

INFANTS (4-7yrs)

JUNIORS (8-12yrs)

SENIORS (13yrs+)

ADULTS

Style(s) of dance interested in *

ACRO

BALLET

BOYS ONLY STREET DANCE

CHEER

LIL BEATZ BABY & PRE SCHOOL STREET DANCE

MODERN/JAZZ/STREET COMBO CLASS

MUSICAL THEATRE

STREET DANCE

ADULT BALLETFIT

ADULT DANCEFIT

ADULT TAP

I'M UNSURE - PLEASE HELP!

Location(s) interested in *

East Malling

Kings Hill

Leybourne

Staplehurst

West Maling

Yalding

Paddock Wood

Goudhurst

East Peckham Primary School (Afterschool dance club)

Kings Hill Primary School (Afterschool dance club)

Frant Primary School (Afterschool dance club)

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. *

YES

Information collected by this form will be held for a limited time in accordance with GDPR. Every now and again, LRSD would love to let you know about upcoming events, workshops, shows, competitions, offers and other LRSD 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. *

YES

Waiver For Participating In Classes (in person and online) * Lucy Robins School of Dance take all precautions to ensure the safety of everyone involved in LRSD classes. Parent/guardian of the participant agrees that s/he is physically, mentally and emotionally able to take part in the activities offered in classes. FOR ONLINE CLASSES - Parents/guardians must make sure there is a suitable space to dance in at home and is clear of all obstructions and animals. LRSD advise parents/guardians to do a health and safety check of the dance area before participating. FOR ONLINE AND IN PERSON CLASSES - I will not hold Lucy Robins/Lucy Robins School of Dance liable for any injury, loss or damage which may be sustained as a result of participating. I understand that students take part in classes at own risk. I hereby for myself, any heirs, executors, administrators or anyone else who might claim on my behalf, contract not to sue. I waive, release and discharge Lucy Robins/Lucy Robins School of Dance, its staff, agents, subcontractors and representatives of all liability, claims, damage, costs or expenses which I may have against them arising out of or in connection with participation in the classes. This release extends to all claims of any kind what so ever, foreseen or unforeseen, known or unknown. Information collected by this form will be held for a limited time in accordance with GDPR. Every now and again, LRSD would love to let you know about upcoming events, workshops, shows, competitions, offers and other LRSD 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. *

I ACCEPT AND AGREE