Let's Dance day | National Dance Company Wales

First Name

Last Name

Telephone Number

Address

Post Code

Date of Birth

Current Age

How would you describe your gender?

Parent e-mail

Dancer Email

Dance Experience

Please give details of your dance experience (current/previous)

Do you have any access requirements?

Is there anything else we should know about?

Tell us anything else you think we should know about, or that would make you more comfortable on the day.

Name of Emergency Contact

Telephone number of Emergency Contact

Do you have any medical or health conditions we should know about? Please disclose.

I give permission for images and videos of me/my child/ward to be shared online by NDCWales platforms* as part of their programmed activity (*including, but not limited to, Facebook, Twitter, Instagram, YouTube, Vimeo and www.ndcwales.co.uk)

For under 18 year olds: I give permission for my child/ward to leave the studio unaccompanied at break times and at the end of sessions. I understand that if I give this permission they will not be under the supervision of NDCWales staff.

I am happy to be contacted about further opportunities with National Dance Company Wales

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