Deanna School of Dancing

APPLICATION FOR ADMISSION

TO BE FILLED IN BLOCK LETTERS AND SIGNED BY A PARENT

STUDENTS INFORMATION :

Last Name : BANDARANAYAKE First Name : MINRADHA SAHAARI

Date of Birth : Day 04 Month 08 Year 2016

Date of Admission : 8 Sept 2021 Grade : B+

PARENTS / GUARDIAN’S INFORMATION :

Name of Mother/Guardian : DINU SHIYARA BANDARANAYAKE Mobile No: 0722782500

Employment Details : STARTUP LAWYER (PVT) LTD Occupation: ATTORNEY-AT-LAW

E-mail Address :

d i n u k s h i . b a n d a r a n a y a
k e @ g m a i l . c o m

Name of Father/Guardian : YASIRU ERANDA BANDARANAYAKE Mobile No. 0777234214

Employment Details : HSBC Occupation : VICE PRESIDENT HR

E-mail Address :

y a s i r u @ g m a i l . c o m

CURRENT RESIDENCE INFORMATION :

Address : 69/ B, 1ST LANE, MEDA WELIKADA ROAD, RAJAGIRIYA, COLOMBO

Home Tel. No. :

0 7 2 2 7 8 2 5 0 0

MEDICAL INFORMATION :

Please list any medical or imperative information that we should know about your child:
Please specify if your child previously or presently has psychological / Physical injuries/
Medical requirements or conditions, that we should be aware of, Yes No

If yes, give further details:

NA
____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________
P.T.O
ENROLMENT POLICY

Disclaimer

There is non-refundable enrolment fee for all students. Term fees have to be paid at the commencement
of each term and no student is exempt from this.

Deanna School of Dancing takes all reasonable care when conducting its classes and provides a safe
learning environment for dance teaching practice. Deanna School of Dancing, Deanna Jayasuriya
(Founder), Natasha Jayasuriya-RTS RAD(UK),BA Hons (Principal) and the dancing school staff are NOT
LIABLE for any injuries, loss of, or damage to personal property that your child may incur. Deanna School of
Dancing instructors are trained and authorised to impart dance techniques and physical instruction.
However, please note that dance is a strenuous activity where unforeseen and collateral injuries could
result.

If your child is absent for a period amounting to or exceeding a term, please try to provide adequate notice
so that we can make the necessary arrangements, if prior notice (within reason) is not provided which
results in an unfilled vacancy for that term, that terms fee will have to be paid.

Please inform the instructor of any physical limitations your child may have. If you are in doubt of your
child’s physical abilities, please consult your physician beforehand.

Please note that RAD Examinations are not compulsory..

Signing this document implies that informed consent is provided and that you agree with all of the above.

Kindly complete, sign and submit this form.

Student’s Name MINRADHA SAHAARI BANDARANAYAKE

……………………………………….. 8/09/2021
Signature of Parent Date