Number of Pupils ______Furness Schools U.DANCE Festival 2018 Year Group ______School:______*Although we wish to see a range of ages please remember that the rehearsal and Address:______performance take place in one day and can be tiring for very young children.

______Agree to Youth Dance England using contact details: Yes No

Postcode: Please tick one of the following:- We feel confident enough to produce a piece on our own. (£150) School telephone Number:______We wish to have the support of a dance artist. (£150 & £30ph) Teacher(s):______Please note that Primary Schools can use their Sport Premium funding for U.Dance Email:______Has your school taken part in Furness Schools U.DANCE Festival before? Email will be our main communication. If you Tell us your curriculum topic(s) for this employ a specialist dance teacher they may autumn/spring which your dance will help to attend the INSET as well as but not instead of explore. the class teacher. Tell us what you would like to gain from the (this must be the teacher who will be INSET day. responsible for the pupils and who will attend the INSET session)

Signed Headteacher

School Agreement

We agree that:- PLEASE SEND PAYMENT £150 WITH THIS 1. The teacher responsible for the class’s FORM PAYABLE TO DARE DANCE performance will attend the INSET day on Thursday 19th October 2017 Please return this form with a cheque for £150 to: 2. We will participate in the full performance & rehearsal at The Forum, Barrow, on either Amanda Mortlock Monday 26th March, 7.30pm or Tuesday 27th DARE DANCE Studio March 7.30pm 104 Abbey Road Barrow in Furness 3. We will provide pupils with at least 6 LA14 5QR sessions of dance. by Friday 14th July 2017 4. We wish to be supported by a dance artist / we will produce a dance piece on our own.* delete as applicable

Signed Teacher

______