VDT’S PERFORMANCE PROGRAMME FOR YOUNG PEOPLE

DANCE & PERFORMANCE PROGRAMME FOR YOUNG PEOPLE

Use this form to sign up for our Dance and Performance Programme for Young People. Under 16? Ask a parent, carer or guardian to complete this form on your behalf.
Which session(s) would you like to sign up for?
Full Name

First NameLast Name
Name you would like us to use
Date of Birth

MonthDayYear
Date
Age
Gender
Preferred Pronouns
For Parent/Carer (if under 16): I consent to this young person taking part in Vincent Dance Theatre activities
Email Address
This should be parent/carer if under 16
Phone Number
This should be a parent/carer if under 16
Who should we send information and updates about the sessions to?
NOTE: For anyone under 16, any emails that are sent to a young person will also be sent to their parent/carer.
Emergency Contact Phone Number
(This should be a responsible adult who is contactable when you are attending a session)
Relationship to Young Person
Home Address

Street Address

Street Address Line 2

CityCounty

Post Code
Ethnic Background
Are you currently in care or a care leaver?
Are you currently in Education, Training and/or Employment?
Are you or have you been a young carer?
Do you currently receive free school meals?
Do you have a disability or long-term health condition?
Do you identify as neurodivergent?
Do you have any access needs, injuries or health conditions (including asthma) we should be aware of to support your participation?
This might be a: health need (physical or mental), disability or special educational need.
Food will be available at these sessions, do you have any food allergies or dietary requirements we should know about?
E.g. Vegetarian, vegan, gluten-free, allergies, intolerances.
Please tick here to confirm you consent to VDT storing your information
Please tick if you would like to receive updates about future VDT classes, events and opportunities by email
How did you hear about us?
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DANCE & PERFORMANCE PROGRAMME FOR YOUNG PEOPLE