Manchester Associates Taster Session
Sunday 7th December at Central Performing Arts, Manchester, M34 3SG
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 Ballet Britain. 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
I understand and agree that Ballet Britain photographers may take photos of students during classes and auditions, which may be used for promotion purposes online.
*
Yes, I acknowledge, agree and understand this.
Can your child leave the studios unaccompanied after the class?
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Yes, I give my permission.
No, I do not give my permission.
Please select which taster session you would like to book:
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6yrs - 7yrs (10:30am - 11:45am)
8yrs - 9yrs (12:15pm - 1:30pm)
10yrs - 12yrs (2:00pm - 3:15pm)
13yrs - 21yrs (3:45pm - 5:00pm)
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 nothing, please type No / N/A.
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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.
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 Ballet Britain.
Parent Signature / or Student 18+ Signature
*
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