Enrolment Form 

Student name

Date of Birth

Gender GenderFemaleMale

T-Shirt Size T-Shirt SizeSize 4Size 6Size 10Size 12Size 16

Emergency contact name 1

Emergency contact phone number 1

Emergency contact name 2

Emergency contact phone number 2

Does your child take any medication we should know about? Does your child take any medication we should know about? Yes No

Does your child have any conditions which may affect the ability to participate? Does your child have any conditions which may affect the ability to participate? Yes No

Does your child have any allergies that we should be aware of? Does your child have any allergies that we should be aware of? Yes No

Mode of payment Mode of payment Cash payment at the studio Bank transfer

I give consent for my child to participate and feature in occasional videos and photos during classes. I authorise El Ritmo to use this happy snaps and footage for promotional and educational purpose. I give consent for my child to participate and feature in occasional videos and photos during classes. I authorise El Ritmo to use this happy snaps and footage for promotional and educational purpose. Yes No