Bluebell Ballet School - Summer School Application Form

Child's Name

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Date of Birth

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Address

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Home Telephone Number

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Emergency Numbers during Summer School

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Relevant health conditions, including food allergies

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Is your child allowed to have face paints?

Yes/No

Dance experience

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Permission to use your child's image for promotional purposes (no name will ever be attached to photos)

Yes/No

Fee enclosed (minimum £50 dep)

£________________________________________________________________________________

Signature of parent or guardian

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