The Dance Institute

Summer 2019 Application Form


By filling out this form you are applying for a place on our 2019 Summer Course.
Once we receive your application we will raise an invoice via Paypal and send it via email to the email address of the parent 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 in the course will be secured.

Student's Information


Student's Address

Student's Dance Training

Parents 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.


Parents Address


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?