I wish to be a student

First Name:

Surname

DOB:

NAME OF PARENT / GUARDIAN:

ADDRESS:

Post Code:

TEL NO:

EMAIL ADDRESS:

1) Classes for fun and/or training but DO NOT wish to take part in the show

2) Chorus Dancer

3) Audition for Principle Dancer in the Backstage Academy Youth Company

4) Audition for Main Performer in the Backstage Academy Youth Company

If unsuccessful at audition you will automatically become a chorus dancer. If unsuccessful I wish to

attend the weekly class/es of:

If you wish to attend any additional classes or classes which are not within show training such as the LCM class

please state classes here:

Name of person agreeing

Date of agreeing

Please sign

Captcha

I wish to attend the weekly class/es of:

I wish to attend the weekly class/es of:

To be completed by a parent / guardian

I have read all the show information and understand the level of commitment both with availability and

financially and agree to the category and classes above.