Registration Form

THE JOANNE WARD DANCE ACADEMY

Principal: Joanne Ward ARAD, Dip PTCD RAD London

2 Melrose Gardens, Hersham, Walton on Thames, Surrey, KT12 5HF

Tel: 07831 408 024

Email: [email protected]


Pupil Registration Form

Please complete is block capitals

Students Name: .........................................................................................................................................

Parent/Guardian Name: ............................................................................................................................

Address: ....................................................................................................................................................

............................................................................................ Post Code: ....................................................

Telephone Number: ..................................................... Mobile Number: .................................................

Email Address: ...........................................................................................................................................

Date of Birth: .............................................................................................................................................

Details of Medical History/Concerns (treated in absolute confidence):

I have read, understood and agree to the Term & Conditions of the Joanne Ward Dance Academy including -

PAYMENT

Invoices for classes are distributed in class at the end of each term.

Payment can be made by Cheque, BACS or Cash.

Payment must be made by the second week of term.  Accounts unpaid by the fourth week of term will incur a 5% surcharge

Any cheques returned unpaid will incur a £7.50 handling charge.

JWDA reserves the right to refuse payment by cheque if this form of payment has previously been unsuccessful.

JWDA reserves the right to suspend classes until overdue payments are received.

Multiple Child Discount will apply to all families with a second or any subsequent child of a family attending classes. 10% will be discounted from the total bill due.

5. NOTICE PERIOD

If a student wishes to give up a class JWDA must receive written notice at least half a term prior to the end date.

9. RESPONSIBILITIES OF PARENTS/GUARDIANS

Photography and Videography of students taken by JWDA may be used for publicity or reference. If you do not wish your child's image to be used for these purposes you must inform JWDA in writing.

Signed by parent/guardian: ................................................................................

Date: ...................................................................................................................

Print Name: ........................................................................................................

Please return the completed form to a teacher. If you would like to pay online my bank details are :

Joanne Ward

Account number - 00127342

Sortcode 11 05 89

Many Thanks

Jo xx