SDI 2027 - Register your Interest - Victoria Academy of Ballet

PLEASE COMPLETE THIS FORM IN ENGLISH; thank you.

Student First Name *

*AS IT APPEARS ON YOUR PASSPORT

Student Last Name *

*AS IT APPEARS ON YOUR PASSPORT

Student Preferred Name (if applicable)

This is the name you want to be called.

Student Gender *

Student Pronouns *

Example: She/Her, He/Him, They/Them

Student Date of Birth *

Student Age *

Student Nationality *

Student Home Address *

Address Line 1

City

State / Province / Region

Zip / Postal Code

Country

Student Email *

Student Phone *

Summer T-Shirt Size: *

*Please make sure you are selecting the correct size as sizes cannot be adjusted.

PRIMARY PARENT/GUARDIAN INFORMATION

Primary Parent/Guardian First Name *

Primary Parent/Guardian Last Name *

Primary Parent/Guardian Home Address *

Address Line 1

City

State / Province / Region

Zip / Postal Code

Country

Primary Parent/Guardian Phone *

Primary Parent/Guardian Email *

SECONDARY PARENT/GUARDIAN INFORMATION

Secondary Parent/Guardian First Name

Secondary Parent/Guardian Last Name

Secondary Parent/Guardian Home Address

Address Line 1

City

State / Province / Region

Zip / Postal Code

Country

Secondary Parent/Guardian Phone

Secondary Parent/Guardian Email

*The Emergency Contact must NOT be the Primary Parent/Guardian. Please provide another contact.

Emergency Contact First Name *

Emergency Contact Last Name *

Relationship to Student *

*The Emergency Contact must NOT be the Primary Parent/Guardian.

Emergency Contact Phone *

Emergency Contact Email *

Who should be contacted FIRST in an emergency? *

Primary Parent/Guardian
Secondary Parent/Guardian
Emergency Contact

Who should be contacted SECOND in an emergency? *

Primary Parent/Guardian
Secondary Parent/Guardian
Emergency Contact

Current Dance School *

Years of Ballet Training *

Years of Pointe Work (if applicable)

Other Styles of Dance Training

If 'Other' please describe:

Do you require homestay accommodation provided by VAB? *

Yes
No

What is your nationality? *

List your hobbies and interests other than dance: *

List any specific food allergies, intolerances, or dietary restrictions if applicable:

List any additional allergies that could be relevant to your homestay:

Example: dust, animals, etc.

Include any additional information that will help VAB select the best-fitting host family.

Note any special concerns about your homestay accomodation:

Following registration, students will receive a Medical History Form that will require further detail about their physical and mental health.

Do you have any medically diagnosed allergies? *

Yes
No

If 'Yes', please describe: *

Are you experiencing any major, on-going injuries? *

Yes
No

If 'Yes', please describe: *

Please describe any major health concerns:

Jul 19 – 30	Summer Dance Intensive Ages 11+
2 Weeks	No Audition Required Summer 2027
Victoria, BC	Pre-Registration Open Victoria Academy of Ballet

Academy

Vocational Division

Open Division

Summer Programs

Pre-Register for Summer 2027

PLEASE COMPLETE THIS FORM IN ENGLISH; thank you.

PRIMARY PARENT/GUARDIAN INFORMATION

SECONDARY PARENT/GUARDIAN INFORMATION

*The Emergency Contact must NOT be the Primary Parent/Guardian. Please provide another contact.

Following registration, students will receive a Medical History Form that will require further detail about their physical and mental health.

OPEN DIVISION

VOCATIONAL DIVISION

ATTENDANCE

WORK WITH US

Studio

Dance with us

Train with us

Studio

Your future

starts here.

Your future

starts here.