Inspire to be – Student information form Inspire to be 1 - Student information form Step 1 of 2 50% Please submit this form online by Monday 21 March 2022 To be completed by the parent/carer. Students will not be able to participate in the class if this form is not received by the deadline. Student details Name* First Last Date of birth* MM slash DD slash YYYY Age of child*Parent/carer contact email for communication* Name of student's dance teacher (who booked the Inspire to be 1 place) First Last Name of parent/carer dropping off and collecting from The Royal Ballet School* First Last Relationship to the student* Please provide a contact telephone number for the parent/carer dropping off and collecting the student* Please provide an alternative emergency contact number* Does the student have any allergies, medication or any other medical conditions that the School should be aware of for this event?* Yes No Please provide details* Does the student carry an epipen?* Yes No Consents Terms & Conditions* By checking this box you confirm you have read and understood our Terms & Conditions and Privacy Policy Does the accompanying adult, or the student, have any access requirements?* Yes No Please provide details* Would you like to sign up to receive the latest news from The Royal Ballet School? Yes Step 1 of 2 50% Please submit this form online by Monday 21 March 2022 To be completed by the parent/carer. Students will not be able to participate in the class if this form is not received by the deadline. Student details Name* First Last Date of birth* MM slash DD slash YYYY Age of child*Parent/carer contact email for communication* Name of student's dance teacher (who booked the Inspire to be 1 place) First Last Name of parent/carer dropping off and collecting from The Royal Ballet School* First Last Relationship to the student* Please provide a contact telephone number for the parent/carer dropping off and collecting the student* Please provide an alternative emergency contact number* Does the student have any allergies, medication or any other medical conditions that the School should be aware of for this event?* Yes No Please provide details* Does the student carry an epipen?* Yes No Consents Terms & Conditions* By checking this box you confirm you have read and understood our Terms & Conditions and Privacy Policy Does the accompanying adult, or the student, have any access requirements?* Yes No Please provide details* Would you like to sign up to receive the latest news from The Royal Ballet School? Yes
