Please fill in all spaces applicable for your child
Please tick your interest
Name
Date of Birth
Address
Parent/Guardian 1 Name
Contact Number
Relationship
Click to enter an email address
Parent/Gaurdian 2
Health Details
If ticked, please give details
SEND Please inform us below if your child has been reffered or has been identified as SEND (this is so we can provide the relevant support in classes.
If your child attends school, please write below the name of the school and which council they come under. (we are asking this due to having to apply for licencing for events for children)
Have you had any previous experience in Dance/Performing/Acrobatics? If yes, please explain.
I, Parent/Guardian of the above, fully commit to the following information provided as correct and take full responsibility for any incident which occurs as a result of withheld information
© Copyright www.boundaryartscentre.com
