Our Classes - InsideOutside Dance

Applicant Details

Name

Phone

Mobile

Email

Do you identify as experiencing disability?

Yes
No

People experiencing disability include “those who have long-term physical, mental, intellectual or sensory impairments which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others” United Nations Convention on the Rights of Persons with Disabilities 2006.

Are you 15 years of age or older?

Yes
No

Which venue(s) would you like to attend?

What classes are you interested in? Tick as many as you like and please place a number in box, 1 means most interested.

Hip hop, street and urban
Contemporary/Jazz
Exercise/Fitness/Strength

Media Information: We take photographs and videos of all our classes to use for social media and publicity purposes.

Yes
No

Please tell us a bit about yourself...

What previous dance or performance experience do you have?

What do you hope to gain from being part of the ensemble?

Access Requirements

Do you have any medical, disability, dietary, welfare, wellbeing or access requirements you would like us to be aware of?

Yes
No

If yes, please specify below

Access Requirements

In case of emergency, I give permission for appropriately trained persons to administer medical treatment. In case of such an emergency, please contact;

Name

Phone

Alternate Phone

If you need to be accompanied by a support worker please give person’s name and contact details here. There will be no charge for a support worker to accompany you;

Support Worker Name

Phone

Alternate Phone

InsideOutside Dance

InsideOutside Dance