Audition registration

Please ensure that you have read our 2016 Summer Course audition information page and our terms and conditions before completing this form.

Audition registration form

Please note fields marked with an asterisk (*) are mandatory. If you experience any difficulty in completing this form then please email us at info@youthballetacademy.uk.

Course I am applying for *

Student name *

Parent/guardian name *

Address *

Post code *

Telephone *

Email *

Emergency contact details *

Parent/guardian contact details if different from above

Date of birth *

Age *

How long have you been dancing? *

Current level (grade and organisation ie RAD/ISTD/BBO) *

Date of last Ballet Examination taken *

Result *

Awarding body *

Number of Ballet Classes taken weekly *

Name of your Dance teacher(s) *

Name and address of your Dance School *

Please list any medical conditions or allergies, which will be treated with strictest confidence (enter "none" if applicable) *

Please list any injuries both past or current, which will be treated with strictest confidence (enter "none" if applicable) *

How we use your information:
Your information will only be used in conjunction with Youth Ballet Academy. No information will be passed to third parties. All data will be stored and treated with the strictest confidentiality. Data will be saved from successful candidates as part of course registration.

 Please tick if you would like us to keep your details in order to inform you of future Youth Ballet Academy events

 I have read and agree to the Terms and Conditions

Headshot: please forward passport size headshot or bring to the audition with name on back.

NB Forms must be received with the audition fee of £17.50. Audition fees can be paid by bank transfer, quoting “Audition fee [date of audition]” and the student’s name, to Youth Ballet Academy, sort code 09-01-28, account no 85781163, or by cheque posted to FAO Ruth Egerton-Stein, Youth Ballet Academy, 1 Park Farm Cottages, Park Lane, Selsey, West Sussex PO20 0HF.