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NXT GEN Information Request Form

Full Name(Required)
Date of Birth(Required)
Postcode(Required)
Under 18 Parental/Guardian Consent(Required)
Participants UNDER 18 years old will require parental/guardian permission. Please provide details.
Parent/Guardian Consent(Required)
I confirm the above details are correct and consent to the applicant taking part in NXT Gen Youth. I agree that FABRIC may hold this data for the purpose of managing the programme.
I'd like to apply for a Bursary place
We would like to hear about your dance/movement expereince and all the styles of dance you have taken part in.
Do you have any medical conditions, disabilities, specific needs or access requirements that we should be aware of?

Equal Opourtunities

Gender
How would you describe your gender?
Ethnicity
How would you describe your ethnicity? Please tick the box that relates to you. (Note. These are categories recommended by the Arts Council England).

Declarations

Media Consent(Required)
We need your permission to use any video footage that may be filmed, or photographs that may be taken, during your time at NeXt Gen Dance School FABRIC will take all necessary steps to ensure that video footage and photographs taken are used only for the purpose for which they are intended; the promotion of NeXt Gen Dance School and activities that includes, but is not limited to, classes, workshops, projects and performances.
Declaration(Required)
I confirm that the details on this form are correct and I agree that FABRIC may hold this data to manage and keep in touch with me about future youth dance opportunities. I understand that my details will be held in accordance with the GDPR and will not be used for marketing purposes.
Please click the payment tab on the website to pay for NXT GEN Youth. Your application will not be accepted unless payment is received (excluding bursary applicants).
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