Contact Number 3 (optional)
Name of person/s responsible for dance fee payments*
Medical Information to be recorded*
Allergies to be recorded*
Class/es I am enrolling for*
We require your consent before photographing/recording your child during a Miss Jolene's School of Dance Class or Event. Please read through the following statements carefully and acknowledge your decision. Your child will NOT be photographed/videoed during the trial period. You can change you decisions at any time by emailing us at missjolenes@live.co.uk
I give consent for my child to be photographed/videoed at Miss Jolene's School of Dance Class or Event*
I give consent for my childs image to be used in printed publications, such as posters, leaflets, newspapers*
I give consent for my childs image/video to appear on Miss Jolene's School of Dance Website*
I give consent for my childs image/video to appear on Miss Jolene's School of Dance Social Media Platforms*
Thank you for contacting us. We will get back to you as soon as possible