Register Child's Information Child's Name * First Name Last Name Preferred Name * Date of Birth: * ISTD Number (for office use only) Parent / Guardian Information Parent / Guardian 1 Name * First Name Last Name Parent / Guardian 1 Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent / Guardian 1 Home Telephone Number * Parent / Guardian 1 Mobile Telephone Number * Parent / Guardian 1 Other Contact Number Parent / Guardian 1 Email * Parent / Guardian 2 Name * First Name Last Name Parent / Guardian 2 Address (If Different) Address 1 Address 2 City State/Province Zip/Postal Code Country Parent / Guardian 2 Home Telephone Number * Parent / Guardian 2 Mobile Telephone Number * Parent / Guardian 2 Other Contact Number Parent / Guardian 2 Email * Emergency Contact Information In the event of an emergency our first point of contact will always be to contact a child's parents. Please provide alternative contacts below should we be unable to contact you. Emergency Contact 1 Name * First Name Last Name Emergency Contact 1 Number * Emergency Contact 1 Relationship to Child * Emergency Contact 2 Name * First Name Last Name Emergency Contact 2 Number * Emergency Contact 2 Relationship to Child * Other Information Does the child suffer from any allergies, food intolerances or medical conditions? Does the child take any medication or have any medical procedures? Any other information: Consent Form, First Aid, Written Literature & Bulletins I give consent for my child to receive first aid in the case of any accident or emergency. I understand that class teachers hold relevant up to date first aid qualifications. * Yes No I give consent for my child's first name, surname and date of birth to be used in written literature for examination and audition applications. * Yes No I give consent for my child's first name and surname to be used in written literature for advertising AIM events and achievements, such as programmes, certificates, noticeboard displays, internal newsletters, Facebook posts, website pages and newspaper/magazine articles. * Yes No I give consent to be contacted by email and text message for bulletins regarding up to date information and reminders about the school. I understand that all personal information will be kept private and used for the schools benefit and will not be shared. * Yes No Consent Form for Taking and Using Photos and Videos I give permission for photos and videos to be taken of my child and used for the following: * AIM records & noticeboard displays Option Social Media (AIM Facebook and Instagram page) AIM website & school prospectus AIM promotions and advertising (leaflets, newsletters, school show dvd) Media - including local newspapers AIM private parent portal videos Consent Form for Performance Licences For your child to take part in any public performances and in order to keep in compliance with strict child performance regulations, it is compulsory for AIM to apply for a special performance licence which requires us to share your child's details with Kent County Council. I give consent for my child's details to be shared with Kent County Council for the application of performance licences. * Yes No Declaration I understand that from time to time it is necessary for the teachers to assist my child by using a "hands on" approach involving physical contact. * Yes No I understand that by signing this form I am agreeing for my child to attend classes and to set up a monthly direct debit payment. * Yes No I have read and fully understand the terms and conditions of the dance school and payment procedures. * Yes No Parent / Guardian Signature * Relationship to child: * Date: * Please note this form is valid for the period of time your child in on roll at AIM Thank you!
