Swan Youth Ballet Scholarship Application

Scholarship Application Form

Submit your application for evaluation must be completed by parent or guardian
Applications Now Open - Close 18th Dec 2025

Round 1 Submit application for 2026 season including a FRINGE SHOW

Round 2 Succsessful applicants from Round 1 will be notified via email with a time to attend a company class for in person meet/greet, parent information session

Students will be required to attend
- All Ballet Technique classes at MDS (electives maybe studied if their is no conflict with ballet schedule
- All SYB weekly company class
- All SYB company rehersals
- All SYB performances
- Previose ballet training is not required if the student is passionate
2026

FRINGE must be available for Dec and Jan for rehersals and shows

other season show dates - TBA

Rehearsals/Company class will be on Fridays 4.30-6.00pm at 1/12 Old Great Northern Hwy Midland. Please note occasional Sunday afternoons maybe needed on occasion.

Principals, Soloists parts will be auditioned in company class.
Parent Personal Information
Parent/Legal Guardian Name*

First NameLast Name
Parent/Legal Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian E-mail*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Personal Information
Student Name*

First NameLast Name
Address same as parents/guardian

YesNo - Please fill out student address below
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Phone Number
For students 12yrs+ only
Can student receive Text Messages?
For !2yrs+ students only
Student E-mail
For !2yrs+ students only
Student age in Years (as of Jan)*
Do you the student identify as

AboriginalTorres Strait IslanderLow Income FamilyOther

Scholarship Application Form

Submit your application for evaluation must be completed by parent or guardian
What are your Personal Goals? (what do you want to be when you get older)
Why do you want to study Ballet?
What would receiving a scholarship mean to you? How would it change your life?

Scholarship Application Form

Submit your application for evaluation must be completed by parent or guardian
SIGIN AND SUBMIT
How did you hear about Swan Youth Ballet?*
Please verify that you are human*
I Name and Surname (must be parent/guardian/dancer over 18yrs) * I recognize and understand the risks of physical injury inherent to ballet, fitness, performing arts, acrobatics and dance training and I fully assume these risks. I hereby release Swan Youth Ballet Company Inc, its affiliates, Midland dance studios, event sponsors, employees and dance teachers from all liability for injuries sustained or illnesses contracted while attending or participating in any dance classes, rehearsals, workshops, or performances. I agree to indemnify, defend, and hold
harmless Swan Youth Ballet Inc, its affiliate Midland dance studios, event sponsors, employees and dance teachers for liabilities, costs and judgments arising from acts of omissions committed by myself or my child which result in injury or damage to any person or property. I will pay any medical costs that may be attendant as a result of injury to me or my child.

I have fully informed myself of the content of this waiver, all terms & conditions policy’s, procedures, fees and charges contained within.

I have fully read and understood and agree to all terms, conditions and waivers.
Further I hold Swan Youth Ballet Company Inc harmless in agreement by reading it all before I sign this waiver, and I understand that I sign this document in my own free will; no oral representations, statements, or inducements, apart from the written statement, have been made. I further state that I am at least eighteen (18) years of age I am the student, parent or legal guardian of the applying student above and am fully competent to sign this agreement for my self and/or on behalf of the applying student; and that I execute this release for full, adequate, and complete consideration fully intending to be bound by the same
AGREE
Signature of parent/guardian of applying student person above*

Clear
Should be Empty:

Scholarship Application Form

Parent Personal Information

Student Personal Information

Scholarship Application Form

Student Information

Scholarship Application Form

Scholarship Application Form

SIGIN AND SUBMIT