Boys Move Application Form

Equality, Diversity and Widening Participation
Central School of Ballet is committed to addressing issues of under-representation in ballet and higher education. To achieve this, we identify and target prospective, talented students from groups that are currently under-represented, particularly including students:
- from low income backgrounds
- from postcodes where participation in higher education is low
- from under-represented ethnic backgrounds
- students classified as having a disability
In answering the questions below, and throughout this form, you will enable us to work towards ensuring talented dance students can access ballet and higher education. For further information about Widening Participation at Central School of Ballet please follow this here
Applicant's Details
First name*
Surname*
Is the applicant a current Junior School or Associate Programme student at Central School of Ballet?*
- Yes
- No
Which class(es) does the applicant attend?*
Address*
Post Code*
Date of Birth*
DD dash MM dash YYYY
Age*
Please enter a number from 8 to 18.
Current school year*
Gender*
Please specify*

Emergency contact details for the duration of the course
Name*
Relationship to the applicant*
Contact Telephone Number*
(Please provide a mobile telephone number if possible.)

Permission to Leave the Premises
We are responsible for the safety of pupils only whilst they are on the school premises, but we do insist that all students aged 18 or under who wish to leave the premises at lunchtime, during breaks or travel alone have permission to do so. Please specify below if you are happy for your child to leave the premises either during breaks (if applicable) or to travel alone whilst attending Central School of Ballet.*
- I give permission for my child to leave the building during breaks and travel alone whilst attending this course at Central School of Ballet.
- I do not give permission for my child to leave the building during breaks and travel alone whilst attending this course at Central School of Ballet.

Dance Training
Dance School(s)*
Please write N/A in the fields below if the applicant does not currently attend a dance school
Name of Dance School Address Dates Attended Hours of Training Per Week
Please tell us if the applicant has studied any of the dance genres below*
- Ballet
- Pointe
- Modern
- Tap
- Contemporary
- Jazz
- Street
- Hip-hop
- Ballroom
- South Asian
- Other
- None of the above
Please specify
Please provide details of the applicant's most recent examinations and results achieved.*
If the applicant has not yet taken any dance exams, please enter N/A
Is the applicant considering applying for pre-vocational training?*
- Yes
- No
Is the applicant considering applying for full time dance training?*
- Yes
- No
Has the applicant previously attended any Central School of Ballet courses or auditions?*
- Yes
- No
If yes, please specify which courses/auditions*
How did you hear about Boys Move?*
Please specify*

Injuries & Medical Conditions
Please specify any ongoing medical conditions, allergies and recent injuries and relevant treatment.
Disclaimer*
- I understand that the information I provide on injuries and medical conditions will be processed by appropriate individuals only in accordance with access protocols (i.e. on a ‘need to know’ basis). I can withdraw my consent at any time by emailing participation@csbschool.co.uk

Photography Permission
Central School of Ballet may take photographs and/or film footage in classes which will be used at the discretion of Central School of Ballet and partner organisations on social media and future marketing campaigns. To comply with the General Data Protection Regulation (GDPR) and the Data Protection Act 2018, we need your permission before any images of the applicant (aged under 18) are taken. Please note, names of children will not be printed alongside photographs.
Please select one of the following*
- YES, I give permission for the applicant to be photographed and/or filmed during classes, and for the resulting images to be used by Central School of Ballet and partner organisations.
- NO, I do not give permission for the applicant to be photographed and/or filmed during classes, and for the resulting images to be used by Central School of Ballet and partner organisations.

Equality and Diversity Information
Ethnicity*
Disability*
Did either of the applicants parents participate in Higher Education of any kind?*
- I prefer not to say
- Yes
- No
Is the applicant, or has the applicant ever been, in local authority care?*
- I prefer not to say
- Yes
- No
Is the applicant estranged from their parents?*
Estrangement is defined as having not communicated with either of their biological or adoptive parents for the past 12 months and the situation is irreconcilable, or their parents cannot be traced, or it is not possible, practical, or safe to contact them or that their parents have significant mental or physical health problems which prevent the student from contacting them.
- I prefer not to say
- Yes
- No
Household Income*

Equality, Diversity and Widening Participation

Name of Dance School	Address	Dates Attended	Hours of Training Per Week