Sans Souci Dance and Fitness Studio

Student/s name:

Date of birth:

Parent or guardian name:

Phone number:

Your email for billing and correspondence:

Residential address for emergency contact:

Please tell us all previous and/or current dance/fitness training:

Does the student suffer from a medical illness or disability?
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If Yes, please provide details:

I agree to Sans Souci Dance and Fitness Studio taking photographs/video of participating student in my care during lessons,events and social activities at the studio or while at a performing/examination venue for publicity reasons
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By taking lessons at SSDFS I am aware of the risks during the Covid Pandemic and will not seek compensation if any infectious disease might be caught unwittingly from any student or teachers at the studio. Please refer to the studio’s Code of Conduct incorporating the Covid Safe Business Plan.
Please Note: During the Covid 19 Pandemic no physical contact will be undertaken for Training in Dance and Fitness. Under normal circumstances dance requires at times some physical contact by teachers to demonstrate exercises and techniques or to administer first aid.
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