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Thank you for payment, please enter your details below to confirm the details of your booking.

    INFUSION DANCE COMPANY ERSKINE
    ONLINE REGISTRATION FOR TERM AUGUST 2021- JUNE 2022

    PLEASE TICK THE BOXES BELOW FOR THE CLASSES YOU WISH TO REGISTER FOR:

    Mondays Erskine Baptist Church, Park Hill, Park Mains, Erskine PA8 7HE

    Note to choose more than one class please hold down the ctrl key on your keyboard

    Tuesdays Erskine Baptist Church, Park Hill, Park Mains, Erskine PA8 7HE

    Note to choose more than one class please hold down the ctrl key on your keyboard

    Wednesdays Erskine Baptist Church, Park Hill, Park Mains, Erskine PA8 7HE

    Note to choose more than one class please hold down the ctrl key on your keyboard

    Thursdays Erskine Baptist Church, Park Hill, Park Mains, Erskine PA8 7HE

    Note to choose more than one class please hold down the ctrl key on your keyboard

    Saturdays Erskine Baptist Church, Park Hill, Park Mains, Erskine PA8 7HE

    Note to choose more than one class please hold down the ctrl key on your keyboard

    PLEASE FILL OUT IMPORTANT INFORMATION BELOW

    Pupils Name (required)

    DOB (required):

    Name Parent / Guardian: (required):

    Mobile No (required):

    Phone No: (required):

    Address (required):

    Postcode (required):

    Your Email (required)

    Emergency contact - An alternative to Parents

    Name (required):

    Relationship to student (required):

    Address (required)::

    Post Code (required):

    Phone Home (required):

    Mobile/Work (required):

    Doctors Details In Case of Emergency

    Name (required):

    Address (required)

    Post Code

    Phone No

    Medications / Illnesses - List any medication students are taking:

    By ticking this box, whether for personal purposes, or on behalf of a child under the age of 16 for whom you have parental rights and responsibilities, you agree to first aid being administered by Infusion Dance Company if deemed necessary.


    I agree to the named participant to receiving first aid treatment as considered necessary.

    INFUSION DANCE COMPANY PHOTOGRAPHY AND FILMING CONSENT FORM

    In accordance with our child protection policy we will not permit photographs, video or other images of young people to be taken without the consent of the parents/ carers. Infusion Dance Company may like to take photographs or make a video of the above named participant involved in the activity. These images may appear in printed publications, on our website and social media platforms.

     

    Conditions of Use of Images

    1. Infusion Dance Company will not include details of full names of any person in an image on our website and social media platforms or in printed publications, without good reason and only with your expressed consent.
    2. Infusion Dance Company will not include personal email, postal addresses, telephone or fax numbers on our website or in printed publications. Contact details will be used only for the purpose of informing and communicating with the addressee.
    3. Infusion Dance Company may use images with very general labels such as "children enjoying dance."
    4. We will only use images of participants who are suitably dressed; to reduce the risk of such images being used inappropriately.
    5. Your consent is valid for 2 YEARS from the date of signing. It will automatically expire after this time.

     Please note that the website can be seen throughout the world and not just in the United Kingdom, where the UK law applies.

    PLEASE TICK THE BOXES BELOW

    I consent to Infusion Dance Company photographing or videoing my childI can confirm that I have read or been made aware of Infusion Dance Company’s photography and videoing policyI hereby authorise the participants referred to on this form to attend and participate in Infusion Dance classes.

    I agree to the named participant to receiving emergency medical treatment as considered necessary by the medical authorities present.

    Please print name of Parent/ Guardian (required)

    Date (required)

    Relationship to Participant (required)

    Class fees are payable throughout the year whilst classes are running at infusion dance company and are non refundable in case of absence. Fees are due in advance in monthly blocks and fee due dates can be found on our "prices" page. Failure to pay fees on time may result in your child's name being removed from the class register. By ticking this box you will be deemed to have read, understood and agree to the rules regarding fees. These are not up for dispute. Fees secure your child's space within our busy classes. Thank you for your co operation in this matter.
    I Agree to the Fees

    Whilst all practical steps have been taken to minimise the risk involved, dancing and gymnastics can be dangerous activities. Neither the operating company nor its employees shall be liable for any loss or injury arising from participation in activities within the dance school. Nothing contained within these terms shall affect any statutory rights. By ticking this box, whether for personal purposes, or on behalf of a child under the age of 16 for whom you have parental rights and responsibilities, you acknowledge the above disclaimer.
    I have read & understood the disclaimer

    PLEASE NOTE YOUR PLACE IN YOUR REQUESTED CLASSES WILL BE CONFIRMED BY TEXT. ONCE YOU HAVE TEXT CONFIRMATION YOUR CHILDS PLACE WILL BE RESERVED IN THE CLASSES OF YOUR CHOICE.

    Deposit: