2025 QB Academy Junior Summer Program

Contact Details

Student Headshot

Student First Name

Student Surname

Gender

Date of Birth

Age at Commencement of Program

Academic Year Level in 2025

Parent/Carer First Name

Parent/Carer Surname

Parent/Carer Email Address

Verify Email Address

Parent/Carer Phone Number

Medical Conditions, Injuries & Allergies

Does the student have any medical concerns, injuries or allergies?

If yes, please provide details below. If the participant also has a medical condition or allergy that requires an action plan please ensure a copy is emailed to academy@queenslandballet.com.au

Details of medical condition, allergies or injury (if applicable)

Address

Line 1

Address City

Address Country

Address State

Address Postcode

Training Information

Please provide further information regarding your child's dance training history

Current Dance Studio/Training Organisation Name

Current Dance Studio/Training Organisation Email Address

Current Ballet Syllabus/Program

Current Ballet Syllabus/Program Level

How many years have you been studying ballet?

Last Exam Result (if applicable)

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2025 QB Academy Junior Summer Program

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