Summer Intensive 2019 – Danceworks Ballet Academy in London application form Contact details Student’s surname Student’s first name(s) Parent’s/Guardian’s surname Parent’s/Guardian’s first name(s) Date of birth Age Nationality Gender MaleFemale Address Out of courtesy, please ensure that your current dance teacher approves your attendance on the Danceworks Ballet Summer Intensive. Dance history Dance schools Period of time Contemporary dance? YesNo Pointe work? YesNo Other? Do you have injuries? YesNo Do you have health conditions including allergies? YesNo Do you have any other dance experience? YesNo How did you learn about Danceworks Ballet Summer Intensive? Scholarship places Additional information Photographs Please send 2 photographs in the following positions. Supported filetypes: JPG, PNG, GIF, PDF; maximum file size: 10 MB. Facing front: Tendu à la seconde à terre en face with arms in 2nd position. Facing side: 8 to 10 years – 1st arabesque à terre de côté. 11 years and over – 1st arabesque en l’air de côté Declaration This is to certify that to the best of my knowledge the information provided in this document is accurate at the time of writing. I accept that any amendment to the information provided after acceptance and acknowledgement of this application could result in the loss of a course place. I have also read and understand the Terms & Conditions found on the Danceworks website. By filling in and submitting this form, I consent to being contacted via email regarding the Ballet Academy and Danceworks. Danceworks will not share your data with any third parties and will store it securely. I accept the Terms and Conditions. YesNo Please leave this field empty.