Teacher CPD Session Booking form

If you need help or advice completing this form, contact the CAT Team on 0113 219 3025 or email cat@nscd.ac.uk

Participant Details

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Phone Number(Required)

Email (all correspondence will go to this email)(Required)

Please note @live.co.uk addresses are unable to receive our emails. Please use another if possible.

Date of Birth(Required)

Gender(Required)

Gender if self-described

Ethnicity(Required)

Nationality(Required)

Do you have any additional needs?(Required)

Yes

Please describe your additional needs and let us know the best way we can provide support:

Please tell us about any medical conditions you have that may affect your participation e.g. asthma:

Emergency contact details

Name(Required)

First Last

Relationship to Participant(Required)

Phone Number(Required)

Terms & Conditions

At NSCD we nurture an inclusive and mutually-respectful learning environment. As such we ask all workshop participants to adhere to the Terms and Conditions as stated on our website.

Safeguarding

Please follow this link for full details of our Safeguarding Policy

Dance is a physical activity involving movement with a gymnastic quality. It may involve contact between teacher and participant, for example during corrections to aid safe practice. There will be times where contact will take place. All contact will however be kept to a minimum and used only with consent.

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Declaration

Tick all to submit

I agree that the above information is correct and that I will notify NSCD of any changes

I agree to the Terms and Conditions as stated on the NSCD Website

I agree to the Privacy Policy

Your privacy is important to us. We will use your details for the purpose of dealing with your booking. Form entries will be stored in accordance with General Data Protection Regulation (GDPR). For more information, read our privacy policy www.nscd.ac.uk/privacy or email dataprotection@nscd.ac.uk