Online registration form for Pullums Dance Academy
Use this form to register with Pullums Dance Academy. You will receive an email with your submission details after registration.
Contact details
First name
Please enter your first name.
Last name
Please enter your last name.
Email
Please enter a valid email address.
Mobile
Phone
Additional notes
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Address
City
County or region
Postcode
Country
Afghanistan
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Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
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Children
Child's first name
Child's last name
DOB
Medical notes
Food allergies *
If your child has any food allergies, please provide details here. If no allergies, please type N/A in the box.
Chosen Dance Classes
Please write the name(s) of the class(es) that you wish to register for.
Emergency Contact Name
To be used incase Parent/Guardian cannot be reached.
Emergency Contact Number
To be used incase Parent/Guardian cannot be reached.
Photo/Video Consent
We would be grateful if you would fill out this form to give us permission to take photos & videos of your child and use these for our printed & online publicity.
By ticking the checkbox above you are agreeing to the following:
I give Pullums Dance Academy permission to take photographs and videos of my child.
I grant Pullums Dance Academy full rights to use the images resulting from the photography/video filming, and any reproductions or adaptions of the images for fundraising, publicity or other purposes to help achieve the groups aims. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications.
Terms & Conditions *
By ticking the checkbox above you are agreeing to the following terms and conditions:
By enrolling at the school you adhere to the following:
All fees are to be paid before the start of term. If fees aren’t paid by the first week of term your child won’t be able to participate. 10% late fees will also be added. (You’ll receive 10% discount for signing up to multiple classes).
There will be no pay as you go classes.
Please ensure to arrive at least ten minutes before the start of the class. Classes will start on time and the warm up at the beginning is essential.
All parents are to wait in the waiting area during the class and will not be permitted into the studio.
Please ensure the correct uniform is worn for all classes. (Check the uniform list).
No food or drink in the studio. Only bottled water will be permitted into the studio. (Chewing gum not permitted)
Dance is a physical activity which can lead to injury. Participating is at your own risk. (We do have public liability insurance).
If your child is taking an exam they will be expected to attend one extra class per week for that exam.
Please inform teachers and staff of any medical issues before the start of class.
Please check with Pullums Dance Academy before posting relevant content about us on social media.
We aim to be inclusive and diverse and respect for others is paramount. Ignoring this will not be tolerated.
What School does your child attend?
Attending half term programme 2025? *
Please select
Yes
No
Please confirm if your child will be attending the programme from Monday 17th February to Wednesday 19th February, 10:00am-3:00pm.
Add a child
Child's first name
Child's last name
DOB
Medical notes
Food allergies *
If your child has any food allergies, please provide details here. If no allergies, please type N/A in the box.
Chosen Dance Classes
Please write the name(s) of the class(es) that you wish to register for.
Emergency Contact Name
To be used incase Parent/Guardian cannot be reached.
Emergency Contact Number
To be used incase Parent/Guardian cannot be reached.
Photo/Video Consent
We would be grateful if you would fill out this form to give us permission to take photos & videos of your child and use these for our printed & online publicity.
By ticking the checkbox above you are agreeing to the following:
I give Pullums Dance Academy permission to take photographs and videos of my child.
I grant Pullums Dance Academy full rights to use the images resulting from the photography/video filming, and any reproductions or adaptions of the images for fundraising, publicity or other purposes to help achieve the groups aims. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications.
Terms & Conditions *
By ticking the checkbox above you are agreeing to the following terms and conditions:
By enrolling at the school you adhere to the following:
All fees are to be paid before the start of term. If fees aren’t paid by the first week of term your child won’t be able to participate. 10% late fees will also be added. (You’ll receive 10% discount for signing up to multiple classes).
There will be no pay as you go classes.
Please ensure to arrive at least ten minutes before the start of the class. Classes will start on time and the warm up at the beginning is essential.
All parents are to wait in the waiting area during the class and will not be permitted into the studio.
Please ensure the correct uniform is worn for all classes. (Check the uniform list).
No food or drink in the studio. Only bottled water will be permitted into the studio. (Chewing gum not permitted)
Dance is a physical activity which can lead to injury. Participating is at your own risk. (We do have public liability insurance).
If your child is taking an exam they will be expected to attend one extra class per week for that exam.
Please inform teachers and staff of any medical issues before the start of class.
Please check with Pullums Dance Academy before posting relevant content about us on social media.
We aim to be inclusive and diverse and respect for others is paramount. Ignoring this will not be tolerated.
What School does your child attend?
Attending half term programme 2025? *
Please select
Yes
No
Please confirm if your child will be attending the programme from Monday 17th February to Wednesday 19th February, 10:00am-3:00pm.