Student Registration Form

Please provide us with the information of the primary account holder. We will send all account notifications to this person. This person should be a responsible person over 16 years of age. By completing this form you give permission to The Regency Dance Centre Ltd to hold and process your personal data. Please see our GDPR Policy for further details. 

Please select a role
Please select a course
Please enter your first name
Please enter your surname.
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A valid email is required for confirmation email to be sent.
Please enter your phone number and only use numeric characters
Please enter a valid phone number.
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Student Details

Please give the details of any additional students who will be registering to this course. If you are the primary account holder and are also a student, you do not need to add your details here. Please ensure that you have selected the role of student on the previous page. 

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Please put the date in the format dd/mm/yyyyy e.g. 01/01/2024
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Please let us know if there are any health conditions or problems that we need to be aware of.
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