Online registration form for Lisa Gilbert Academy of Ballet & Performing Arts
Use this form to register with Lisa Gilbert Academy of Ballet & Performing Arts. You will receive an email with your submission details after registration.
Contact details
First name
Please enter your first name.
Last name
Please enter your last name.
Email
Please enter a valid email address.
Mobile
Phone
Additional notes
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Address
City
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Postcode
Country
Afghanistan
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Virgin Islands, U.S.
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Children
Child's first name
Child's last name
DOB
Medical notes
Gender:
Male
Female
Other
Ethnicity:
Nationality:
Required Class(es) *
Please list the classes that you would like to enrol in.
Doctor's Name *
Doctor's Telephone Number *
Doctor's Address *
First Aid Permissions *
Yes
No
I give permission for the above named pupil to have first aid administered if necessary including calling a doctor and being taken to hospital if appropriate. (Every effort will be made to contact parents in the first instance).
Personal, Special or Educational Details?
Are there any personal, medical, special or educational details relating to the pupil that we should be made aware of? If YES, please provide details in the box above.
Nursery / Academic School Attended:
Where did you hear about our ballet school?
Emergency Contact - Name *
Please provide the name of an emergency contact, other than the person listed in the parent/guardian section above.
Emergency Contact - Telephone Number *
Photo/Video permission *
Yes
No
We do hold ‘watch days’ where you are invited to observe your child’s class. Parents may wish to record or take photographs of the class, however, these must not be used for any commercial use and we require that you do give permission for your child to be recorded/photographed.
The LGA may wish to record/photograph your child for use in our promotional material and on social media.
Please indicate if you give permission for your child to be filmed/photographed by the school for commercial use.
Privacy Policy *
I give permission for the dance school to hold personal data of pupils and parent such as address, email address, telephone numbers, + pupils’ date of birth, exam pin numbers and any medical/educational needs. This information is used to run The Lisa Gilbert Academy including for registers, billing, quality monitoring, examination and other event planning.
Please see our Privacy Policy here.
Mailing List
I agree to be contacted about news, information, fees and general updates from The LGA
Terms and Conditions *
I have read the
Terms and Conditions
and agree to abide by them. I confirm that the information above is correct to the best of my knowledge.
Please note that general mail and invoices will come from
[email protected]
Add a child
Child's first name
Child's last name
DOB
Medical notes
Gender:
Male
Female
Other
Ethnicity:
Nationality:
Required Class(es) *
Please list the classes that you would like to enrol in.
Doctor's Name *
Doctor's Telephone Number *
Doctor's Address *
First Aid Permissions *
Yes
No
I give permission for the above named pupil to have first aid administered if necessary including calling a doctor and being taken to hospital if appropriate. (Every effort will be made to contact parents in the first instance).
Personal, Special or Educational Details?
Are there any personal, medical, special or educational details relating to the pupil that we should be made aware of? If YES, please provide details in the box above.
Nursery / Academic School Attended:
Where did you hear about our ballet school?
Emergency Contact - Name *
Please provide the name of an emergency contact, other than the person listed in the parent/guardian section above.
Emergency Contact - Telephone Number *
Photo/Video permission *
Yes
No
We do hold ‘watch days’ where you are invited to observe your child’s class. Parents may wish to record or take photographs of the class, however, these must not be used for any commercial use and we require that you do give permission for your child to be recorded/photographed.
The LGA may wish to record/photograph your child for use in our promotional material and on social media.
Please indicate if you give permission for your child to be filmed/photographed by the school for commercial use.
Privacy Policy *
I give permission for the dance school to hold personal data of pupils and parent such as address, email address, telephone numbers, + pupils’ date of birth, exam pin numbers and any medical/educational needs. This information is used to run The Lisa Gilbert Academy including for registers, billing, quality monitoring, examination and other event planning.
Please see our Privacy Policy here.
Mailing List
I agree to be contacted about news, information, fees and general updates from The LGA
Terms and Conditions *
I have read the
Terms and Conditions
and agree to abide by them. I confirm that the information above is correct to the best of my knowledge.
Please note that general mail and invoices will come from
[email protected]