Enrolment Form Please complete all sections and confirm you have read our T&C's. Select Class / Studio —Please choose an option—Xmas Drama and Dance Club 2026-Brighton BHASVIC, The Grove Building Mon 21st to Wed 23rd December 2026 9.30 - 5.00pm Age 5-9Xmas Drama and Dance Club 2026-Brighton BHASVIC, The Grove Building Mon 21st to Wed 23rd December 2026 9.30 - 5.00pm Age 5-9Xmas Drama and Dance Club 2026-Worthing Davison High School, Main Hall Mon 21st to Wed 23rd December 2026 9.30 - 5.00pm Age 5-9Xmas Drama and Dance Club 2026-Worthing Davison High School, Main Hall Mon 21st to Wed 23rd December 2026 9.30 - 5.00pm Age 10-16 Child Name Age DOB School Year Group Medical or allergy conditions/any special educational needs or disabilities? Please tell us about this Primary Carer Name Email Mobile Number Street Address Town Postcode Secondary Carer Name (emergency contact) Secondary Carer Mobile Number(emergency contact) Payment accepted via BACS transfer or Paypal with a link on our website FEES Xmas Drama and Dance Club Brighton 3 days £135.00 Deposit £30.00 Xmas Drama and Dance Club Worthing 3 days £135.00 Deposit £30.00 We do not accept childcare vouchers Lunch -Dietary requirements/food allergies. £5.00 per day £15.00 for 3 days ) Lunch-Enter YES or NO. Scholarships are available through HAF program DRAMA DANCE CLUB SUSSEX Payment by Bank Transfer NAME: Drama Dance Club Sussex SORT CODE: 09-01-29 ACCOUNT NO: 38102259 Ref: Childsname/event Enter Payment type in box below 1. HAF Scholarship (Holiday clubs) 2. Self Pay - Pay Deposit (non-refundable) 3. Self Pay - Payment in full Enter Payment Type ( 1 2 or 3 Required) Scholarships are available through HAF program If you are applying for HAF scholarship for our holiday clubs this is open to participants who receive benefits-related free school meals. A further link will be sent to you to complete your funding application however you should still complete this form to secure your child's place. Enter yes if you are eligible for a HAF funded place.. Safeguarding Declaration I consent to my child attending Drama Dance Club Sussex and online classes GDPR Declaration I understand how our personal data will be used and consent to this use on behalf of myself and my child, including requests from Public Health England relating to track and trace.*Confirmation of attendance data for the Holiday Activities and Food programme will be shared with Brighton & Hove/Adur & Worthing Council’s Holiday Activities and Food (HAF) programme team or if your child goes to school outside of the districts the relevant local authority HAF team, who will use that data to verify funding and write reports required by the Department of Education in connection with the programme. All data used in these reports will be anonymised. The data will be stored securely and deleted in accordance with the relevant BHCC/AW retention policies. Please see BHCC/AW’s websites for more information about their data protection policies (brighton-hove.gov.uk/adur-worthing.gov.uk) Terms & Conditions Please read our Terms & Conditions I have read and understood Drama Dance Club Sussex Terms & Conditions Δ Print T&C's