Dance Classes registration

Please complete the form below before joining our Dance Classes.

Emergency contact info - this must be completed


The purpose of this DISCLAIMER AND NOTICE is to make you conscious of the potential risks connected with activity in any exercise program. And to help you make an informed decision as to whether you should participate in these types of activities. Ascendance strongly recommends that you consult with your Doctor or Physiotherapist before beginning any exercise or dance program. The same advice is applied to on-line classes.

You should understand that when participating in any exercise or dance program, there is the possibility of physical injury. If you engage in these online dance classes, you agree that you do so at your own risk, are voluntarily participating in these activities, assume all risk of injury to yourself. Ascendance is not a licensed medical care provider and has no expertise in diagnosing, examining, or treating medical conditions of any kind, or in determining the effect of any specific exercise on a medical condition.

Data Protection

Your privacy is important to us, and we want to communicate with our class participants in a way that has their consent, and in line with UK Lawon data protection. As a result of a change in UK Law, we need your consent to how we contact you.

Bysigning this form, you are confirming that you are consenting forAscendance, holding and processing your personal data.

I consent to share details to keep me informed of class changes, news, events, activities run by Ascendance & Parkinson’s UK.

You can grant consent to all the purposes: one of the purposes, none of above. If do not grant consent, then we will not be able to hold personal data. You can withdraw or change you consent at any time.


For purposes of documentation, monitoring and evaluation, it is necessary to take photos / videos of activities / document comments, throughout the course of the project. Imagery and quotes may be used for printed publicity and for the Ascendance website and social media activities. We will not use images without your consent as indicated below (please tick box):

Some guidance when joining an on-line session or using our on-line resources.

  • Ensure you dance space is clear from obstruction, are there any hazards nearby? including any bags,wires, furniture and pets. 
  • If using a chair, ensure that the chair is stable. 
  • Have a drink to hand and take regular drink breaks during the session if required.
  • Have any medications nearby. 
  • Wear suitable loose clothing that you can move freely in. 
  • Have a telephone nearby you with emergency contact stored. 
  • Provide a current emergency contact for dance leader to phone in an emergency.
  • Ensure that your tutor is are of any medical issues that may affect your ability to take part.
  • Only do what you feel comfortable with, rest if you need to.
  • No recording of on-line classes or sharing without obtaining permission first with all members. 
  • If practicing at home alone please ensure that somebody close by knows that you are exercising and that you check in and out them to ensure your safety.