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?
*
MONDAYS: DANCE IMPROVISATION (Age 11-16) 4.30pm-6.00pm (food is available from 3.45pm-4.15pm)
WEDNESDAYS: DANCE PERFORMANCE TRAINING (Age 14-24) 5.00pm-6.30pm (food is available from 4.00pm-4.45pm)
SUNDAY 17TH MAY: PERFORMANCE INTENSIVE (Age 14-24) 10.00am-3.00pm (lunch is included)
SUNDAY 5TH JULY: PERFORMANCE INTENSIVE (Age 14-24) 10.00am-3.00pm (lunch is included)
Full Name
*
First Name
Last Name
Name you would like us to use
*
Date of Birth
*
-
Month
-
Day
Year
Date
Age
*
13-15
16-17
18-19
19-24
Gender
*
Female
Male
Non Binary
Prefer Not To Say
Preferred Pronouns
For Parent/Carer (if under 16): I consent to this young person taking part in Vincent Dance Theatre activities
*
I consent
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
City
County
Post Code
Ethnic Background
*
Asian/Asian British
Black/Black British
White/White British
Mixed/multiple ethnic group
Any other ethnic group or none of the above
Prefer not to say
Other
Are you currently in care or a care leaver?
Yes
No
Prefer Not To Say
Are you currently in Education, Training and/or Employment?
Yes
No
Prefer Not to Say
Are you or have you been a young carer?
Yes
No
Prefer Not To Say
Do you currently receive free school meals?
Yes
No
Prefer Not To Say
Do you have a disability or long-term health condition?
Yes
No
Prefer Not To Say
Do you identify as neurodivergent?
Yes
No
Prefer Not To Say
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
*
I consent
Please tick if you would like to receive updates about future VDT classes, events and opportunities by email
I consent
How did you hear about us?
Social Media
Friend/Family
School/University
Flyers/Posters
Other
Submit
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