Senior Dancer Application

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* Denotes required Field

Name *

Date of birth *

Gender *

Address line 1 * Address line 2

City *

Postcode *

Parent / Guardian Name *

Contact phone *

Contact email *

Emergency contact name (If different to above)

Emergency contact number (If different to above)

Current school *

What local authority is this located In *

Any absence from school in the last 12 months for performances?

Yes

Please provide details of the absence.

If your child attends a dance school please let us know which

Medical Information

This information is not considered during casting and will only be used for Licensing following successful casting.

Allergies Skin Conditions Hearing / Visual Impairments Learning Difficulties Physical Disabilities Regular Medication Asthma Other Health Condition Have you been seen by or had a referral to a hospital consultant in the last 6 months?

If you answered YES to any of the above, please provide details:

Has your child performed at The Bradford Playhouse before?

Yes

Are you available on the audition day?

Yes

Measurements

Used for costume sizing if cast.
This information is not considered during casting and will only be used for costume preparation following successful casting.

Height (Feet and Inches) *

Chest (Inches) *

Waist (Inches) *

Hips (Inches) *

Nape of Nack to Waist (Inches) *

Inside leg (Inches) *

Shoe size *

Consent

I Acknowledge School absence is required for some show *

I Give consent for my Child to Appear in Photo and Video *

I Give Consent for my Child to Preform If Cast *

Please note if successful you will need to provide an up to date photo of your child and a copy of child's birth certificate.