Enrolment Form For Adult Students (Ballet) Please enable JavaScript in your browser to complete this form.Type of Lesson 1 *Choose a Type of LessonGrade 1 Ballet LessonsGrade 3 Ballet Lessons (9+ y.o.)Adult Ballet LessonsType of Lesson 2 *Choose "None" if not applicableNoneGrade 1 Ballet LessonsGrade 3 Ballet Lessons (9+ y.o.)Adult Ballet LessonsStudent's Name *FirstLastDate of Birth *(dd/mm/yyyy)Address *Emergency contact (Name) *FirstLastRelationship to Student: *Telephone # *Email Address *EmailConfirm EmailPlease give details of any Dance/Music background *Do you give permission to be shown in promotional media photos or videos? (please choose) *Yes, I doNo, I do notAny known medical conditions/allergies/special needs/disabilities: *I give permission to be given emergency medical treatment (please choose) *Yes, I doNo, I do notHow did you find M & L School of Performing Arts? *Disclaimer: I am aware that participating in dance involves inherent risks and hazards. I freely accept and fully assume all such risks, dangers, and hazards and the possibility of personal injury. I authorize M & L School of Performing Arts to seek medical services in case of serious injury or illness. I understand that M & L School of Performing Arts employees and/or contractors will not assume responsibility for any lost or stolen property, or for any bodily or personal injury consisting of or arising out of any participation in any physical training. *Please tickDate *(dd/mm/yyyy)Name: *FirstLastClick to Sumbit Share this:TwitterFacebookLike this:Like Loading...