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Examiners: Your emergency contact details

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Examiners: Your emergency contact details

Please enter the details of your emergency contact below. These will be kept securely on your member record. If you need to update them at any time please contact membership@istd.org.

All fields are required unless otherwise stated.

Examiner Details

Please confirm your details:

Examiner Name

Membership Number

Emergency Contact Details

Please provide the details of your emergency contact:

Emergency Contact Name

Contact Email

Phone/Mobile Number

Relationship to Examiner

Other (Describe below)

Verification

Click the box

Please click the box to indicate you are a human rather than an automated system completing this form.

Last step

The Imperial Society of Teachers of Dancing is a company limited by guarantee, registered in England, no. UA-20377677-1 and registered charity no. 250397.