Full name of the dancer:
Year of birth: Height (in cm): Weight (in kg):
Parent’s/Guardian’s name:
Present address
(including PIN):
Contact telephone number:
  
 Email address:
Present guru’s title and full name:
School’s/ Institution’s address
School’s/ Institution’s contact telephone number:
Dance style (bani in case of Bharatanatyam):
Year of commencement of training:
Year of arangetram, if it has been completed:
Preferred costume:
 pants skirt
Number of ballets learnt over the last 2 years:    
Number of solo programmes (margams) learnt over the last 2 years:  
State the number of items that the dancer has learnt so far:
 Jatiswaram’s

 Shabda’s

Varnam’s

Padam’s

 Tillana’s

Ashtapadi’s

Devaranama’s

Javali’s

Give details of the most recent dance competitions, contests,
festivals and other events in which the dancer has participated :
Name

Date:

Location:

Name

Date:

Location:

Name

Date:

Location:

Name

Date:

Location:

Name

Date:

Location:

Name

Date:

Location:

Name

Date:

Location:

Would the dancer like to study western dance
 yes    no
Has the dancer studied modern dance
yes    no
Does the dancer consider becoming a professional dancer
 yes    no
Number of hours of dance class that the dancer attends per week

  Duration of one dance class

Number of dancers in the same class

Number of hours of home practice per week

Related disciplines studied (music, other classical Indian dance styles, sanscrit, yoga, etc):
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