Student Name *
Contact Tel No. *
Email *
Date of Birth *
Age * 123456789101112131415161718192021
Nationality *
Next of Kin (Full Name) *
Next of Kin Contact No. *
What school/college are you currently attending *
Do you have any disabilities * YesNo
If yes please note here:
Do you have any allergies * YesNo
Do you have any medical conditions you feel we should know about? * YesNo
Please select the subjects you wish to participate in (Hold down the Ctrl key and click to select multiple) * TapDramaLyrical/ContemporaryStreet Dance
Have you ever danced or participated in performing arts before? * YesNo
If yes what sort and to what level?
How did you hear of us?
Consent of applicant or parent /guardian. By ticking this box, you agree to yourself/child participating in Turbelle’s Performing Arts and agree to abide by Turbelle’s Performing Arts terms, rules and school policy. *
3 + 0 = ? Please prove that you are human by solving the equation *
