NSCD Summer School 2022 - Booking Form - Northern School of Contemporary Dance

If you need help or advice completing this form, contact the Learning and Participation Team on 0113 219 3005 or email participation@nscd.ac.uk

Which Summer School strand would you like to attend?(Required)

Strand 1 for ages 12-14

Strand 2 for ages 15-17 (SOLD OUT)

Strand 3 for ages 18+ (advanced level, including dance students and graduates)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Phone Number(Required)

Email address (all correspondence will go to this email)(Required)

Please note @live.co.uk addresses are unable to receive our emails. Please use another if possible.

Date of Birth(Required)

Gender(Required)

Gender if self-described

Ethnicity(Required)

Nationality(Required)

Do you have any additional needs?(Required)

Yes

Please describe your additional needs and let us know the best way we can provide support:

Please tell us about any medical conditions you have that may affect your participation e.g. asthma:

Name(Required)

First Last

Relationship to Participant(Required)

Phone Number(Required)

Email(Required)

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Summer School 2022