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Enrolment Form

Welcome! Please complete the form to enrol your child in one of our dance classes.

Classes are held at Farnborough Academy of Ballet, Lynchford Road, Farnborough, Hampshire, GU14 6BH.

Which class are you enrolling in?*

Select a class

How did you hear about us?

Student Information

First name*

Last name*

Date of Birth*

Day

Month

Year

Parent / Guardian Information

First Name*

Last Name*

Relationship to Student*

Email*

Mobile*

Is there another email you would like added?

Please note, all emails added to the system will recieve school communication and invoices.

Address

Country/Region*

Address*

City*

Zip / Postal code*

Emergency Contact Information

Please provide two emergency contact numbers.

Emergency Contact 1

First Name*

Last Name*

Phone*

Relationship to Student*

Emergency Contact 2

First Name*

Last Name*

Phone*

Relationship to Student*

Medical Information

Multi choice*

None

ADHD

Allergies

Asthma

ASD

Diabetes

Epilepsy or seizures

Hearing impairments

Heart conditions

Scoliosis

Vision impairements

Other medical conditions or information you'd like us to know:

Do they take any medication?*

In the event of a minor injury during class, we may provide basic first aid (e.g. plasters, ice packs) administered by a staff member trained in first aid. For anything more serious, we will contact you or your emergency contact immediately.

I give permission for trained staff to administer basic first aid if needed.

hello@farnboroughacademyofballet.co.uk

Safeguarding Policy

Farnborough Academy of Ballet, Wavell School, Lynchford Road, Farnborough, GU14 6BH

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