Enrolment 24th August - All That Jazz

Enrolment Form Dempsey

  • Contact Details

  • First Name of Parent/GuardianLast Name of Parent/GuardianPrimary Phone 
  • Student's First NameStudent's Last NameDate of BirthIs there any medical condition that you need us to be aware of? 

    a) Students with an existing injury must notify the academy when registering, and attend classes at their own risk.
    b) Parents, legal guardians of minor students, and adult students waive the right to any legal action for any injury sustained on school property resulting from normal class activity or any other activity conducted by the students before, during, or after class.
    c) All That Jazz Dance Academy does not carry medical insurance for its students. It is required that all dance students be covered by their own family insurance policies. And if injury occurs it is understood that the participant’s own policy is their only source of reimbursement.

    a) All That Jazz Dance Academy holds information about our customers to enable us to carry out our business as a dance school. The information includes the contact details supplied to us and may also include information on examiners, courses and students’ records.
    b) The academy will not disclose your information to third parties except where the law allows or requires, or where you have given your permission to do so.

    a) As the legal parent or guardian, I release and hold harmless All That Jazz Dance Academy, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or in route to or from any of said premises.
    b) I understand that appropriate physical contact is required during the instruction of dance, and I give permission for instructors to make appropriate physical contact with me or my child for such instruction.

    a) As the legal parent or guardian, I give permission to All That Jazz Dance Academy, its owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian.
    b) I hereby declare that I have informed the Academy in writing of any physical/mental problems, restrictions, or conditions and/or declare the participant to be in good physical and mental health.

    Term and conditions must be accepted with appended signature of the parent and/or guardian.