Stageforce Enrolment

Co4IT Limited

This Enrolment Form will be submitted to the Lynden School of Dance.

Workshop Requested

Parent/Guardian first name

Parent/Guardian Surname

Address

Town/City

County

Postcode

E-mail Address

Home Telephone

Mobile

Work Telephone

Alternative Emergency Phone Number

Student first name

Student Surname

Date of Birth and age

Important Medical Information

Other Relevant Information

I agree to the legal disclaimer opposite and the Stageforce Conditions

To prevent spamming from applications, please type the characters shown into the box below:

Legal disclaimer:

I give permission for the aforementioned student to participate in the Stageforce workshop in association with The Lynden School of Dance.

I confirm that I have read and accept the Stageforce 'Terms & Conditions'.

I understand that whilst every effort is made to ensure the safety of all participants, all physical activity carries a certain amount of risk.

I understand that the students(s) participate at his or her own risk. I accept that all belongings brought in by students are done so at their own risk.

Photographs of the children will be taken throughout the week by Stageforce staff and displayed for parents to view. Due to current child protection policies and copyright laws, no other photography or filming will be permitted. A CD of the photographs will be available for purchase and photographs will be displayed at low resolution on the web site and may be used for publicity purposes.

Payment for Courses:

The fee for the Stageforce event is £90.

Payment for Stageforce workshops should either be made to The Lynden School of Dance or using the PayPal link on the acknowledgement page. Places will not be guaranteed until payment is made.

Stageforce workshops held at Basingstoke Sports Centre may also be paid for at the Sports Centre. Please contact the Sports Centre on 01256 326331.