Trial Auditions First Name Last Name Your Email Your Date of Birth DD/MM/YYYY Please provide your full address (street, suburb, city/state, country, postcode/zip) Your Mobile Number Your Phone Number Your Age as at today Your gender ---MaleFemaleNon binary Nationality Do you have any medical conditions that we should be aware of? Only complete this section if you 15 years old or under Parent / Guardian's Full Name Their mobile number Their Email Their relationship to you e.g. she is my mother, this is my dad, its my Nana etc Terms & Conditions Health & Safety The Palace Dance Studio is not liable for personal injury or any loss or damage of personal property, whilst on the premises. The Palace Dance Studio will aim to provide a safe learning environment to reduce risk of injury. It should be recognised by all students, parents/guardians that dance by its very nature carries a risk of injury or accident. The Palace Dance Studio provides qualified and/or experienced dance teachers, who actively promote safe dance practice. This being the case, it should be realised that injuries do occur from time to time and students must accept this element of risk. It is the students/parents/guardians responsibility to notify the Studio Manager in the event of injury/medical condition prior to class. A First Aid Kit is available to any student through their choreographer or centre administration. Privacy There are cameras operating on our premises for safety of staff and students. The Palace Dance Studio holds the rights over all choreography, photographs and media. This enrolment form collects personal information about you. Under the Privacy Act 1993, you are entitled to have access to, and request correction, this information which is held at The Palace Dance Studio's premises at 8 Station Road, Penrose, Auckland, New Zealand The Palace Dance Studio also maintains the right to dismiss any student who breaches any of the stated Terms and Conditions, damages property or causes disruptions to any classes of a severe nature. The decision is at the discretion of the dance Directors. by ticking this box I agree to all the terms above and confirm that I have not been advised by a medical professional that should not be participating in the Auditions.