Dance Residency

Monday 8 January 2024 10:00 am
Friday 12 January 2024 4:00 pm

Mara Mara 18 Kathleen Street Tamworth, NSW, 2340 Australia (map)

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Join the Brolga Dance Academy for a Dance Residency

Brolga Dance Academy is an Aboriginal owned and controlled business built from deep respect, passion, desire and a long-standing commitment in the Aboriginal performing arts industry and community.

They value Aboriginal and Torres Strait Islander arts, culture, communities and people – their passions, their creativity, and their commitment. Brolga Dance Academy brings a familiar perspective to representation that upholds our belief that our young people and culture are the most important part of our business.

Dance Residency

Participant Name

First Name

Last Name

Participant Age

Parent / Guardian Name

First Name

Last Name

Phone

(###)

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Emergency Contacts

Emergency Contact 1

First Name

Last Name

Phone

(###)

###

####

Emergency Contact 2

First Name

Last Name

Phone

(###)

###

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Consent

As the legal guardian of the participant listed on this form I give consent for them to participate in the school holiday program and all associated activities.

I give permission for any images taken during the course of this activity to be used by 2 Rivers for promotional purposes.

Medical Information & Dietary Requirements

Please tell us about any medical or other conditions that may affect your child's ability to fully participate in this activity.

Please provide information about medication, including Does your child take any medication we should be aware of? Will they need to take this while participating? Will we need to administer this for them, and if so what are the instructions?

Does your child have any special dietary requirements that we need to consider when catering?

Is there any other information you think we should know? Regardless of how small or large it is, it could help us to insure the safety and welfare of your child so we find it very important.

Dance Residency

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