Elite Program Audition & Scholarship Form
Student Details
Childs Name
First Name
Last Name
Childs Date of Birth
-
Month
-
Day
Year
Date
Contact Email Address
example@example.com
Medical/Dietary Information
All information is treated confidential. Access only to authorised personnel.
Height [cm]
Weight [kg]
Are there any allergies or medical issues we should be aware of? Please detail below.
Dance Studies
Please give as much detail as you can
Age when commenced training
Current Dance school/s
Last Ballet Examination [Grade and Syllabus]
Last Ballet Examination Result
Ballet Level and Syllabus now studying
Current hours of Ballet training per week
Scholarship Application Information
Please support your application with details such as recent dance exam results, competition results, etc
Supporting Information for Scholarship Application
Dance Level in 2020
Please tick one
Mini 6-8 yrs
Junior 9-11 yrs
Teen 12-15 yrs
Senior 15-18 yrs
Parent Details
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Acknowledgement
By submitting this application, you are agreeing to the Terms and Conditions of the GWB Studios Scholarships below, and you are agreeing to abide by all expectations of Scholarship holders.
http://bit.ly/EliteScholarship
Privacy
By ticking the box, you are agreeing for your Personal Information to be shared with our Assessment and Scholarships Panel
Signature [please use mouse or touch screen to sign]
Submit
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