AMPLIFY AMPLIFY AMPLIFY SOUTH TYNESIDE PARADE 2025 Name * First Name Last Name Phone * (###) ### #### Email * Age & Date of Birth * Emergency Contact Name * Emergancy Contact Number * Emergency Contact Email * Home Address & postcode * MEDICAL: Any allergies? Health Concerns? Medications? Injuries? * ACCESS: any special accommodations? * CONSENT: I acknowledge the understanding of any risks associated with dance classes and acknowledge personal responsibility in case of injury * Yes No PHOTOGRAPHY: Do you give permission to being photographed or filmed during class or performances? * Yes No Thank you! See you Saturday!
