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York Dance Company
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LEVEL UP Application

Dancer's Details

Dancer First Name*

Dancer Last Name*

Birthday*

Day

Month

Year

Age*

Phone (of parent if under 18)*

Email (of parent if under18)*

Current dance school/training setting*

Dance experience - styles trained and approximate years*

Any injuries, medical conditions or additional needs we should be aware of?*

No

Yes

If YES - please provide additional information

Please confirm your acceptance that images and videos taken during the Dance Classes may be posted on social media*

Yes, I give consent

No - no photos or videos please

Parent's Details

Parent First Name (if under 18)

Parent Last Name (if under 18)

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