Ballet Workshops Australia
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Ballet Workshops Australia
workshop booking form
Please fill out this form in order to confirm your booking using a Creative Kids voucher.
Student Information
Name
*
First Name
Last Name
Age
Date of Birth
*
MM
DD
YYYY
Dance Experience
*
1 Year
2-4 Years
5+ Years
Email
*
Current Dance School
*if applicable
Styles of Dance Studied
*
ballet
pointe
jazz
contemporary
hip hop
musical theatre
national character
tap
acro
physie
RAD Ballet or Similar Level
Injuries/Allergies/Special Needs
*
Parent/Guardian Information
Name
First Name
Last Name
Contact Phone
Creative Kids Voucher Number
*
Consent to Participate
*
BWA Holiday Dance Workshop
Photography Consent
*
I hereby grant permission to Ballet Workshops Australia to use photographs and/or videos of me or my child to be taken during BWA workshops in publications, news releases, online and in other communications related to the mission of Ballet Workshops Australia.
Yes
No
Privacy and Information Collection
*
I acknowledge that BWA collects the information provided for the workshop/classes and that my details will be retained for future contact regarding the workshop/classes and for future events relevant to me. BWA will NOT share the information provided with any third party websites or organisations and will keep this information secure. I agree to receive email correspondence from BWA regarding this and future events and news.
I agree
Thank you!