Application Form & Prospectus Lee Academy of Dance and DramaRegistration and Contact SheetName of Student *Student NameNumber & Street Address *CityCountyPostal CodeDate of Birth *Email Address *Mobile Number *Home NumberEthnicity *EthnicityIndianPakistaniBangladeshiChineseAny other Asian backgroundCaribbeanAfricanAny other Black, Black British or Caribbean backgroundWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny other Mixed or mulitple ethnic backgroundEnglish, Welsh, Scottish, Northern Irish or BritishIrishGypsy or Irish TravellerRomaAny other White backgroundArabAny other ethnic groupAny dance / drama experience?Code of Professional ConductStudents need to have left their previous Dance and Drama school before enrolling at The Lee Academy. We do not accept students who are receiving tuition in Dance and Drama from another school. It is compulsory that students attending the Lee Academy, do not attend another Dance and Drama school whilst at The Lee Academy. Students have the opportunity to audition for local Pantomimes/productions providing they catch up on missed lessons. The Lee Academy offer age appropriate experiences for students to perform in shows which include Disney Land Paris, The Albert Hall, Her Majesty’s theatre, O2 arena, Cruise ship performances, Local Festival performances, Power of Choreography performance and a Bi-annual Lee Academy show. Please speak to Miss Donna if you have any queries regarding the Code of Conduct.By ticking the below box you are confirming your child is not currently enrolled at another dance or drama school *I confrmProfessional standards acknolwedgementClass enrolling to: *First Steps - SaturdaysJuniors - FridaysInters Package - SaturdayInters Sessions (please list below)Seniors PackageSeniors Sessions (please list below)Inclusive DanceAdult DanceHeels ClassList Sessions (if not taking package)GP Name / Address *City / Town *County *Postal CodeList of Medications *Please indicated any medical conditions *Date of Last Tetanus Injection *If any pre-exisiting medical conditions, do you have your doctors permissions to allow you to dance? *YesNoNursery / School / CollegeEmergency Contact DetailsWe will enter the numbers into our WhatsApp groupEmergency Contact 1 *Emergency Contact 2Emergency Contact 1 Phone *Emergency Contact 2 PhoneIn case of illness or injury do you give permission for the academy to adminster basic first aid and contact above number(s)? *YesNoIn case of emergency do you give permission for the academy to contact emergency services on the above number(s)? *YesNoDo you give permission for your child to appear in class photographs and videos on our website and social media? *YesNoPRINT NAME *SignatureStart signing your signature hereYour browser does not support e-Signature field.Date *The following section is only applicable if taking the acrobatics lessonThe British Theatre Dance Association have advised all registered teachers to issue am acrobatic disclaimer to all parents. Written permission must be gained in order for children to participate in acrobatic dance. In the current climate, this is to acknowledge that injury may occur. Please note that all teachers of Lee Academy are qualified, registered and the the Academy holds public liabilty insurance. Every effort is made to prevent injury and all classes are fully supervised.Name of StudentSignature of parent / carerStart signing your signature hereYour browser does not support e-Signature field.DateConsentI have read and accept the terms set out aboveSubmit Application FormPlease do not fill in this field. Please see below for our prospectus and contact us with any question. Prospectus_Jan26Download