YTB Saturday Associates Taster Session
Sunday 1st June at Yorkshire Dance (LS9 8AH)
Student Information
Student Name
*
First Name
Last Name
Date of Birth
*
DD/MM/YYYY
Current Age
*
Email Address (Parent/Guardian or 18+ Student)
*
Mobile Number (Parent/Guardian or 18+ Student)
*
Home Telephone Number
*
Upload student headshot for ID purposes
*
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Dance School
Name of Dance School
*
Name of Principle
*
All students must have full permission and support from their Dance Teacher to join Yorkshire Theatre Ballet. Please do not complete this form unless you have spoken to your Dance Teacher.
*
I confirm that I have full permission and support from my Dance Teacher to apply for this programme.
Programme Information
I understand and agree that YTB photographers may take photos of students during classes and auditions and YTB may use them for promotion purposes online.
*
Yes, I acknowledge, agree and understand this.
Can your child leave the studios unaccompanied after the class?
*
Yes, I give my permission.
No, I do not give my permission.
Medical Information
Is there any medical information/allergies that we need to know about? Please also list any emergency medication that is required (e.g. epipens / inhalers)
If an emergency occurs I/we give permission for a Yorkshire Theatre Ballet representative to take the applicant to hospital
*
Yes, I give my permission.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
2nd Emergency Contact Name
*
First Name
Last Name
2nd Emergency Contact Phone Number
*
Privacy Policy
Please read our Privacy Policy in order to understand how your information is used and shared, and check below if you accept the policy.
*
I have read, understood, and accepted the privacy policy for YTB.
Parent Signature / or Student 18+ Signature
*
Taster Session Fee:
*
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Group 1 (7-8yrs) 10:15am - 11:30am
Non-refundable.
£
5.00
Group 2 (9-10yrs) 12:00pm - 1:15pm
Non-refundable.
£
5.00
Group 3 (11-12yrs) 1:45pm - 3:00pm
Non-refundable.
£
5.00
Group 4 (13+yrs) 3:30pm - 4:45pm
Non-refundable.
£
5.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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