Booking form

PLEASE DO NOT COMPLETE THIS FORM IF YOU ARE ENQUIRING ABOUT ADULT SESSIONS.
ADULT CLASSES ARE DROP-IN AT MARINA STUDIOS. NO NEED TO BOOK.

To show interest in our kids’ classes, please complete the form below with your child’s details and we will get back to you with a suitable class, date and time.

Your / child's name*

Date of birth*

Gender*
Male Female Other 

School attended (if applicable)

Address (including postcode)

Mobile number

Emergency number 1*

Emergency number 2

Email address*

What level of skill would you consider your child to be?

What days would suit you best?
Monday Tuesday Wednesday Thursday Friday Saturday 

If there are any medical conditions that you feel are relevant, please specify here:

If a minor injury is sustained, do we have permission to administer a plaster?
Yes No 

In an event of an emergency, do we have permission to perform emergency first aid including CPR?
Yes No 

I agree to the terms and conditions.
Yes 

From time to time we take photographs/video at the course that may be used for marketing and promotional purposes for Streetfunk. If you would rather you/your child was not included in any photographs we must be informed in writing before the course. Submission of this form constitutes your consent to take and use these pictures/video.

Additionally, we would like to hold and use some of your details for future marketing purposes, for example sending you promotional information. Please let us know as soon as possible if you do not want to receive future mailings from Streetfunk by ticking here:

Terms

1. Payment

Payment of the deposit/contract amount will confirm acceptance of the terms & conditions by everyone on the booking form.

2. Balance

Streetfunk do not offer trial sessions, instead we offer a money-back guarantee.  After one class we will refund the remainder of the term if your child does not wish to continue.  All term fees are due before the term starts, children will not be permitted to start classes until these fees have been received.

3. Cheques

Should your cheque be presented at the bank and returned unpaid we are charged a fee by the bank. We therefore have to make a charge to you of £10 on each occasion this happens.

4. Confirmation

Prior to the course commencing we will contact you to confirm your place. Please check the details including dates and location, and let us know within 14 days if we haven’t confirmed what you expected.

5. Cancellations & Customer Protection Plan

Cancellations must be made in writing.
You may cancel for any reason up to 1 week before the course start date and receive a full refund. For cancellations after the course start date, we will refund you for the remaining weeks of the course after written cancellation is received. Please note that we cannot offer a refund in the case of illness or injury unless your child is unable to participate in all subsequent weeks of the course. All such claims will need to be supported by a doctors note.

6. Photography

From time to time we take photographs/video at the course that may be used for marketing and promotional purposes. If you would rather you/your child  was not included in any photographs we must be informed either at the time of booking or in writing before the course. Signature of this form constitutes your consent to take and use these pictures/video.

7. Health and safety

In order that we maintain appropriate standards of health and safety, you are responsible for disclosing any prior medical or physical conditions on this form and also to the teacher before the class starts. If you are in any doubt as to the suitability of the course please consult your doctor. You expressly acknowledges that engagement in dance whether under the care and supervision of Streetfunk in the course of tuition or as a matter of free form dance in social dance engagement, is a physical activity of medium to high aerobic demand AND that engagement in dance may occasion falls, sprains or twisted ligaments, respiratory or cardiovascular stress ( in persons with respiratory or cardiovascular disabilities). The attendee (or parent/guardian) covenants with Streetfunk that the attendee has sought all appropriate medical advice prior to the acceptance of this invitation to ensure the Client is in good physical condition fully able to undertake the aerobic demands of dance (including without limitation fast tempo modern dance) at the date hereof AND FURTHER the Client accepts and assumes all ALL RESPONSIBILITY for any loss, damage, injury or adverse consequence suffered by the Client as a result of engaging in dance AND INDEMNIFIES Streetfunk absolutely in respect of any claim by or through the Client in the event of injury to or demise of the Client as a consequence of engaging in dance excluding only loss or damage suffered as the direct consequence of negligent breach of duty of care by Streetfunk. The client acknowledges that some physical contact may be necessary by course instructor

8. Medical information

The membership form includes a section to inform us of any activities a child may not be able to take part in, the reason why, and any medical or physical conditions or behavioural problems. If full information is not provided this may result in the child being excluded from certain activities. In such circumstances no refund will be paid and we may have to cancel the booking. All information given will be treated in complete confidence.

9. Liability

Streetfunk does not accept liability for personal injury or the death of any participant unless directly caused by the proven negligence of the company or its servants.

10. Exclusions

If an attendee is persistently disruptive, or if we feel their attendance affects the good atmosphere of the course, we may decide to exclude them. Transport home will be the responsibility of the parent/guardian and no refund will be made for days missed or cost of transport.

11. Programme changes

In some circumstances, such as unsuitable failure of equipment, building faults and other factors (Incl. force majeure) which may arise from time to time, we may have to amend our services and activity programme content, times, dates and venue. In these circumstances there will be no refund or compensation to the customer.

12. Data Protection

Streetfunk acts as a Data Controller for the purposes of the Data Protection Act 1998. We need to collect some personal details from you and the children on your booking so we can process your booking, such as names, ages and any applicable medical or dietary restrictions and, in some cases, credit/debit card or other payment details. It is your responsibility to ensure that you have the necessary permission to pass on the personal details of all the children that you are making a booking for.