1. Your Details
Applicant Name
*
First Name
Last Name
Date of Birth (ages 12+)
*
-
Day
-
Month
Year
Date
Free Audition/Trial Date
*
Please Select
WAITING LIST
Age
*
Gender
*
Pronouns
*
Applicant Address
*
Street Address
Street Address Line 2
City
County / Province
Postal / Zip Code
Applicant Phone Number
*
Applicant Email Address
*
example@example.com
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2. Your Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Relationship to Applicant
*
Emergency Contact Number
*
Emergency Contact Email
*
Upon a successful audition outcome, fees will be communicated with
*
Applicant
Parent/ Guardian
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3. Your Experience
Have you attended Emil Dale Part Time?
*
Please Select
Yes
No
Have you attended one of our outreach days? If so, please list below.
How did you hear about us?
*
Please Select
Facebook
Twitter
TikTok
Instagram
Outreach
Google search
Summer school
Current Student
Emil Dale Part Time
Other (please tell us here):
Where are you currently studying?
Other Qualifications/Professional Experience/ Amateur Experience/ Dance School/ Dance Grades/ Singing Grades
Do you wish to also take part in Emil Dale Part Time 2:30 - 6:00pm?
*
Please Select
In addition I would like to audition/try Emil Dale Part Time 2:30pm- 6pm, (trial session is FREE).
I just want to try Associates and finish at 2:30pm
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4. Additional Information
Are you a wheelchair user?
*
Yes
No
Do you have any special requirements?
*
Submit
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