The Dance Institute

Summer 2021 Application Form

Introduction

By filling out this form you are applying for a place on our 2021 Summer Course.
Once we receive your application we will raise an invoice and send it via Paypal 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 Address

Age At Start Of Course

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

Course Selection

Which course do you want to attend? *

How will you attend 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 PayPal 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 PayPal invoice to the student's email if you are over 18.

Particulars

Guardian's Address


Payment Type

We prefer payment by Bank Transfer but we also accept PayPal.
How would you like to pay for the course? *
PayPal payments are subject to a 4% transaction fee.

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?