To be completed by the parent/carer. Students will not be able to participate in the class if this form is not received in advance of the semainr.
Student details
Please select the Inspire to be seminar your child is attending
Please select which date your child is attending:*
- Friday 29 March (ages 7-9)
- Saturday 30 March (ages 10-12)
- Sunday 31 March (ages 13-15)
Name of child*
First Last
Date of birth*
MM slash DD slash YYYY
Age of child*
Year group of child*
School year group of child*
How many ballet classes does your child attend per week?*
How many years has your child been attending ballet classes?*
Parent/carer contact email for communication*
Name of student's dance teacher (who booked the Inspire to be place)
First Last
Name of parent/carer dropping off and collecting from venue*
First Last
Relationship to the student*
Please provide a contact telephone number for the parent/carer dropping off and collecting the student*
Please provide an alternative emergency contact number*
Does the student have any allergies, medication or any other medical conditions that the School should be aware of for this event?*
- Yes
- No
Please provide details*
Does the student carry an epipen?*
- Yes
- No

Inspire to be – Student information form

Student details