Applicant Details

Name*

First Last

Date of Birth*

Current Age*

Address*

Street Address City State Post Code Country

Home Phone*

Mobile Phone*

Email*

Height (cm)*

Hair Colour*

Size*

Gender*

Which program they want to audition for:*

Emergency Contact

Name*

First Last

Relationship*

Occupation*

Phone*

Email*

Address*

Street Address City State Post Code Country

Previous / Current Dance Training

Years of Dance Training

Name of Studio

Name of Principal

Studio Address

Street Address City State Post Code Country

Please indicate the number of classes you attend per week for the following:

Ballet

Contemporary

Jazz

Tap

Acro

Other

Last Ballet Exam Passed:

Level

Syllabus

Date / Year

Result

Current Level

Other Syllabus Studied

Academic Schooling / Tertiary Education

Name of School / Uni

Year Attending

Medical Conditions

Have you been under the care of a physio / doctor in the last six months?

Yes

No

For what condition were you receiving treatment?

Do you have any current injuries?

Yes

No

Please give details:

Do you have any allergies / medical conditions?

Yes

No

Please give details:

Conditions of Enrolment

Name of Parent / Guardian*

Date

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Audition Form

Applicant Details

Emergency Contact

Previous / Current Dance Training

Academic Schooling / Tertiary Education

Medical Conditions

Conditions of Enrolment