Enrolment Form

Step 1 Student Details

Procter Dance Academy would like to communicate with you, but in order to do so we require your consent. By completing this enrolment form you are authorising PDA to use your information as per section 5 of our PDA policies.

There are times when we may want to contact you. Please select one or more contact options:

Step 2 Medical Infomation

Please provide details of two contacts in the event of an emergency.

Medical Consent

Step 3 Consent

Photographic Consent

It may be necessary for your child to be photographed and / or filmed during classes or performances, purely for promotional purposes and may be shared on social media.

The Academy will NOT allow pupils to be photographed or filmed by any person or persons who have not been checked by the Criminal Records Bureau.

Covid 19 Parent Consent

PROCTER DANCE ACADEMY agrees to adhere to the UK government and the World Health Organisation (WHO) recommended ways to prevent the spread of infection.

PROCTER DANCE ACADEMY ensures the appropriate measures are in place; through displaying posters promoting hand washing and ensuring hand sanitiser/and or soap is available on the premises.

If your child (or anyone in your household) is unwell, even with a mild cough or fever, they should stay at home and will not be permitted onto the dance school premises.

The parent/legal guardian agrees that the PROCTER DANCE ACADEMY is not responsible for any spread of infection or contraction of Covid-19.

Terms & Conditions


Please sign your name in the box below, then select the Use Signature button. You can use the Clear Signature button to restart the process.

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