STREET ELEMENTS · MOSTA & XGĦAJRA

Dancer registration.

For new and returning dancers. A parent or guardian should complete this for anyone under 18. Complete one form per dancer after your class place has been discussed with our team.

How to register: Fill in the form, tap “Send on WhatsApp”, then press Send in WhatsApp. Your completed details will be included in the message. Saving a PDF copy is optional.

1. Dancer

Full name Date of birth Preferred studio Class or classes

2. Parent, guardian or adult dancer

For a child, enter the details of the parent or legal guardian completing this form. Adult dancers can enter their own details.

Full name Relationship to dancer Mobile number Email Second parent/guardian contact (optional)

3. Emergency contact & collection

Emergency contact name Emergency contact phone People authorised to collect the child (if applicable)

4. Health & safety

Only include details our team needs to keep the dancer safe in class or at an event. Tell the coach directly about urgent needs before the first session.

Food allergies Other allergies Health conditions, injuries or additional support needs relevant to participation Action needed in class or an emergency

5. Photos & video

Your choice does not affect access to classes. You may change it later by contacting Street Elements. Please tell the coach if your choice changes.

May Street Elements photograph or film the dancer for internal class and event records?

Yes No

May Street Elements publish identifiable photos or videos of the dancer on its website and social media to share class and event activities?

Yes No

6. Confirmation

Street Elements uses these details to manage registration, contact you about classes and respond to safety needs. Please ask the team for its full privacy information, including how long records are kept and how to request access, correction or deletion.

Name of person completing this form Date

WhatsApp opens with your completed details. Please press Send there to finish your registration. You can save a PDF copy for yourself if you wish.