Trial Registration Form

Welcome!

Thank you for choosing Northern Dance Company, we are so excited to meet you!

Please read and fill out this trial form carefully, it allows us to collect important information regarding your child and for their safety, it is important that all information is listed correctly.

If you are registering more than one child for a trial, please complete a seperate form for each child.

Welcome

Thank you for choosing Northern Dance Company, we are so excited to meet you!

Unfortunately trials are now closed for 2025, however behind the scenes we are already preparing for 2026.

If you would like to be placed on a list to be notifed when trial registrations for 2026 open please fill out the below details.

We hope to see you next year!

Name

First NameLast Name

Email

example@example.com

Phone Number (Optional)

Parent/Guardian Name

First NameLast Name

Parent/Guardian Email Address

example@example.com

Parent/Guardian Contact Number

Student's Name

First NameLast Name

Student's Date of Birth

MonthDayYear

What grade is your child in at school?

Please select all classes you would like your child to trial

Does your child have asthma?

Please provide NDC admin with an asthma managment plan.

Does your child have allergies?

Please list known allergies

Does your child suffer from anaphylaxis?

Please provide NDC admin with an ASCIA Action Plan For Anaphylaxis.

Please list all previous/ongoing injuries or medical conditions. If not applicable please answer NA.

How did you hear about us?

I, the parent/guardian named on this form, have read and agreed to Northern Dance Company's Free Trial Terms and Conditions*

Parent/Guardian Signature