Dancer's First Name and Surname:
Please specify in
years only...If 17 years and under, you must have your Parents
Permission. Please send separate email with your Parent's permission
clearly stated, to
firstname.lastname@example.org thank you!
Present Dance Partner:
Dancing together for:
eg. Juvenile, Junior, Youth, Adult, Masters
long have you been dancing?
did you first hear of ballroom (dancesport) dancing?
did you first know you wanted to be a dancer?
dance is your favourite and why?
is/are your favourite dancer/s and why?
was your greatest / most memorable dance experience?
was your worst dance experience and why?
do you hope to achieve in the future?
is your advice for anyone training to become a dancesport dancer?
you could pick one role/dance show to dance in, which one would it be
**NOT FOR PUBLICATION** Address:
**NOT FOR PUBLICATION** Contact Numbers:
**NOT FOR PUBLICATION** Email Address:
PRIVACY STATEMENT: As this is a
Profile, your personal details will be requested for
the DanceScene WA website. Whether you choose to fill in all the
details or only some is, entirely your own choice. There are some
items marked **NOT FOR PUBLICATION**, such as Address, Contact
Number, and Email Address, these items are only requested for the
Web Manager's convenience to contact dancers when the need arises,
and to verify this form. These details will not be shared or
sold to any other parties. Please remember that any information that
is disclosed in the other areas you complete becomes public
information. If at any time you wish to change your information on
this form, you can send an email to the
Web Manager of the website, asking for the changes. If you are
under 18 years of age (that is 17 years and under), you must have
your Parent's permission to fill out this form.
Please remember by
completing this form you agree to publicly
show any of your details that you have entered, excluding the items
marked **NOT FOR PUBLICATION** I may at some time contact
some or all submissions to verify your comments. So
if your contact information is not supplied, then the profile will not be
posted to the website.
LIST BELOW ANY OTHER COMMENTS YOU WISH TO MAKE!