Parents Details

First Name *

Last Name *

Phone *

Email *

SELECT NEAREST LOCATION *

Tick and we will text you a copy of our Studio Guide for more info *

Yes, please 🙌🏻

No, thank you

Childs Details

Child's First Name *

Child's Last Name *

Name of Friend Who Invited Your Child? *

Class Attending *

Child's DOB *

Any Medical Conditions We Should Be Aware Of? (If yes, please ensure the teacher as been informed) *

I give permission for my child to be photographed or filmed for studio use (classes, performances, and marketing). *

Yes

No, please let the teacher know

I confirm that I am the parent/guardian of the child attending Bring A Friend Week at NA Dance Company and can be contacted in an emergency if required. I understand that participation in dance activities involves physical activity and accept that NA Dance Company, its staff and representatives will not be held liable for any injury, accident or loss that may occur during participation. I also agree to receive relevant event and class information from NA Dance Company.