Childs First Name:*

Childs Last Name:

Date of birth:

Parents Name:


Mobile number

Day School:*

Previous dance experience:

Classes you wish to sign up for:

How did you find out about us?

Google searchFriend / FamilySchoolWebsiteMagazineFlyerPoster

Any other information:

I agree to pay fees on a termly basis. I understand that fees are due on the 1st day of each term,
and are considered late if received after the 3rd class of the term.

I understand that a £25.00 late fee will be assessed to any overdue account.

I understand there are no refunds for absences.

I understand that DDA uses email to communicate and share important information.
It is my responsibility to provide an accurate email address and update staff if there are any changes.

I have chosen to have my child / childrenparticipate in dance/vocal instruction given by DDA .

I acknowledge that I understand the nature of the activities my child will be participating in and the
possibility that despite precautions, accidents and/or physical injury may occur.

I/we agree to release and hold harmless DDA. including its teachers, and staff members
from any cause of action, claims, or demands now and in the future.
I/we will not hold DDA. liable for any personal injury or any
personal property damage or loss, which may occur on the premises before, during or after
classes or which may occur at any DDA. sponsored event outside the studio.
I have listed any special medical problems that my child receiving dance/vocal lessons has below.
Our family doctor approves of their participation in DDA classes in spite of these medical problems.

I have read the Waiver and photo release and agree to:
WaiverPhoto releaseBoth



Need to Contact Us?

Address: Dakoda’s Dance Academy Within MoreHouse School 22-24 Pont Street London SW1X 0AA Tel: 07796134841/ 020 85798268 Email:[email protected]