The Dance Institute

Summer 2022 Application Form

Introduction

By filling out this form you are applying for a place on our 2022 Summer Course.
Once we receive your application we will raise an invoice and send it to the email address of the guardian if the student is under the age of 18, or the student if they are over the age of 18.
Once we have received your payment, your place on the course will be secured.

Student's Information

Particulars

Student's Date Of Birth

Student's Address

Age At Start Of Course

Will you be 18 or over at the start of the course? *

Student's Dance Training

Which types of dance do you study? *

Injuries & Medical Information


Guardian's Information

If you will be less than 18 years old on the first day of the course, this section needs to be completed by a parent or legal guardian. We will also send the invoice to the email address in this section in this case.
If you will be over the age of 18, please provide us with an 'in case of emergency' contact in this section. We will send the invoice to the student's email if you are over 18.

Particulars

Guardian's Address


Payment Type

We prefer payment by Bank Transfer but if you would prefer to pay for the course by another method, please contact up by clicking here.

Waivers

Please use this section to express your wishes regarding the following:

Physical Corrections


Do you give your consent to Physical corrections?

Photography Release


Do you give your consent to Photographic Release?