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MBC Junior Summer School Application Form 2022
To be completed by the student if 16 or over and by a parent or guardian if under 16.
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* Indicates required question
Email
*
Your email
Name
*
First and last name of student
Your answer
Student Mobile number
*
Your answer
Student Postal Address
*
Your answer
Are you happy to be added to the Mark Bruce Company mailing list?
*
Yes
No
Required
How did you find out about MBC Junior Summer School?
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Please give brief details of the student's previous dance training including school and current level.
*
Your answer
Please give details of any medical conditions or existing injuries we would need to know about.
Your answer
Next of Kin name, relationship and phone number
*
Your answer
Student age on 18 July 2022
*
13
14
15
16
17
18
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