Ballet Britain 1-Day 21st December Nutcracker Intensive 2025 - Leeds
Sunday 21st December 2025 at Northern Ballet, Leeds, LS2 7PA
Student Information
Student Name
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First Name
Last Name
Date of Birth
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DD/MM/YYYY
Age on 21st December 2025
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Email Address (Parent/Guardian or 18+ Student)
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Confirmation Email
Mobile Number (Parent/Guardian or 18+ Student)
*
Upload student headshot for ID purposes
*
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Dance School
Name of Dance School
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Name of Principle
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All students must have full permission and support from their Dance Teacher to take part in Ballet Britain's programmes. Please do not complete this form unless you have spoken to your Dance Teacher.
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I confirm that I have full permission and support from my Dance Teacher to apply for this programme.
Programme Information
Can your child leave the studios unaccompanied after the session?
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Yes, I give my permission.
No, I do not give my permission.
Ballet Britain photographers may take photographs of me/my child during the intensive which may be posted online (e.g. social media).
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Yes, I give my permission.
No, I do not give my permission.
Please tick the group you are suited to. For those aged 10 and 13 yrs old, please select which group you would feel most comfortable with:
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Age 7-10 yrs (SOLD OUT)
Age 10-13 yrs
Age 13-21 yrs
Medical Information
Does your child have any Allergies/Medical Information we need to know about?
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Yes, they do
No, they do not
Please detail any Medical Information/Allergies that we need to know about?
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Does your child require any emergency medication (e.g. Epipen / Inhaler)? - Please note we require any medication to be bought with your child to the session in a named clear plastic bag. Without this medication, we will be unable to accept your child into our care.
If an emergency occurs I/we give permission for a Ballet Britain representative to take the applicant to hospital
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Yes, I give my permission.
1st Emergency Contact Name
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First Name
Last Name
1st Emergency Contact Phone Number
*
Please input WITHOUT the area code (+44) if it's a UK number
2nd Emergency Contact Name
*
First Name
Last Name
2nd Emergency Contact Phone Number
*
Please input WITHOUT the area code (+44) if it's a UK 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.
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I have read, understood, and accepted the privacy policy for Ballet Britain.
Parent Signature / or Student 18+ Signature
*
Booking Confirmation and Payment
Course Fee
*
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AGE GROUP: 7YRS - 10YRS
Non-refundable.
£65.00
£
65.00
AGE GROUP: 10YRS - 13YRS
Non-refundable.
£65.00
£
65.00
AGE GROUP: 13YRS - 21YRS
Non-refundable.
£65.00
£
65.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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