SQA Dance Course Application – The Valerie Brown School of Dance and Drama

Applicant Details

First Name *

Surname *

Date of Birth *

Age

Sex

Male

Female

Contact Details
If applicant is under 16, please provide contact details of parent/guardian.

Address *

Postcode *

Telephone *

If applicant is under 16, please provide telephone number of parent/guardian

Email *

If applicant is under 16, please provide email address of parent/guardian

Parent/Guardian Information
Required if applicant is under 16.

Name

Relationship to applicant

Course Choice

SQA *

National 5 Dance

Higher Dance

Previous dance history in ballet and jazz (please detail below)