ELITE EXTENSION PROGRAM (EEP) FORM

STUDENT'S FIRST NAME*
STUDENT'S SURNAME*
DATE OF BIRTH*
Date Format: DD slash MM slash YYYY
AGE THIS YEAR*
PARENT OR GUARDIAN NAMES*
ADDRESS*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
SYDNEY ADDRESS*
Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
PHONE (HOME)*
PHONE (WORK)*
PHONE (MOBILE)*
SYDNEY PHONE (HOME) – if different from home phone
SYDNEY PHONE (MOBILE) – if different from mobile phone
EMAIL*
BALLET / DANCE STUDIES
AGE WHEN COMMENCED BALLET TRAINING*
CURRENT BALLET SCHOOL (NAME AND YEARS ATTENDED)*
LAST EXAMINATION*
RESULT*
LEVEL NOW STUDYING*
CURRENT HOURS OF BALLET TRAINING PER WEEK*
PREVIOUS BALLET SCHOOL
EXAMINATIONS
RESULT
PRIMARY SCHOOL/HIGH SCHOOL
SCHOOL YEAR IN 2021
VIDEO AND PHOTO SUBMISSIONS
VIDEO LINK (YOUTUBE, VIMEO, ETC.)
(An audition fee of $50 is payable for video auditions).
Content should include:
CLASSICAL SOLO & CONTEMPORARY SOLO CONTRASTING SOLO or PHRASE.

Please paste the URL of your video here.
PHOTOGRAPHS*
Drop files here or

Accepted file types: jpg, png, pdf.
Please attach the following photographs: 1 x HEADSHOT 1 x TENDU A TERRE A LA SECONDE 1 x 4TH POSITION CROISE (EN POINTE FOR GIRLS) 1 X ARABESQUE EN L'AIR (SIDE VIEW)
Application Fee
Price: $ 50.00
TOTAL
$ 0.00

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BALLET / DANCE STUDIES