RM_StatsUsername *Email *First Name *Surname *Contact Number: *Photo Permission - for marketing purposes for Inspirations School of Performing Arts - website, printed and promotional material and social media. * Yes No Emergency Contact: *Medical Form Do you have Asthma? Do you have any Allergies or Skin Conditions? Do you have a Hearing or Visual Impairment? Do you take any regular medication(s)? Do you have any medical conditions such as elevated blood cholesterol, diabetes, epilepsy, sustained illness / high or low blood pressure ? Do you ever experience dizziness or fainting and/or chest pains brought on by physical activity? Do you have any bone, joint or muscular problems / injuries ? If you have answered yes to any of the above medical questions then please let us know any further information we should know. Additionally if you have any medical conditions not mentioned that may impact your physical activity then please let us know belowCovid 19 Procedures & Guidelines * I have read and agree to the procedures for classes I will not bring my child if they, a member of your household, or someone who they have been in close contact with are displaying symptoms of Coronavirus I will inform the office if my child is showing symptoms of Coronavirus. The office must also be informed immediately of the results of their Covid 19 test to ensure that our track and trace system can be implemented appropriately and effectively In the event of a lockdown / Government restrictions, classes will take place live online on Zoom Inspirations School of Performing Arts / Inspirations Acro Academy does not accept liability for any cases of Covid-19. All necessary precautions will be taken and social distancing will be ensured at all times throughout classes. Have you had any previous Dance / Dance Fitness experience? Yes Not yet! Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.