Date of birth:*

Parent's / Guardian details

Email address: *

Permission for medical treatment:

In case of an accident or illness of my child while at school, I agree to allow the staff of Anna Davydova’s Dance School to obtain necessary medical attention.

Disclaimer

For the safety of all children with allergies we require that no nut products are brought to ADDS dance classes and venues. I agree that ADDS can collect use and store information as set out in the data protection policy. I hereby release ADDS and their dance teachers from all claims, demands, losses and actions suits or proceedings, arising out of the participation of the applicant named in any facility at any location where the dance venues are being held other than proven negligence. I also agree to consent to the use by ADDS of the participant’s likeness (photos and video) for Publicity purposes.