Strictly Seashell

To make it the perfect 10 please fill in the Dancer Information sheet.

Please can this be completed by Monday 20th January. If you have any question please can you contact dianne.gill@seashelltrust.org.uk.

1. Name

2. Business Name (If you require mentioning)

3. Address

4. Email

5. Mobile

6. Would you like to hear from us? We're so pleased you would like to help children and young adults with complex disabilities and their families to live their best lives. We'll use your details to fulfil your request. We may contact you again by post or phone to tell you more about our services and other ways you can help, including opportunities to donate, volunteer or fundraise. Please let us know if you're also happy to hear from us by:

Yes I'd like to hear from you by email
Yes, I'd like to hear from you by text

7. Following the launch event we will set up a WhatsApp group for all our contestants so you can get to know each other better, support each other and ask any questions about the evening. Do you consent to be added to this group?

Yes
No

8. Seashell’s marketing team will be doing regular communications around Strictly Seashell before and after the event. To enable us to tag you in relevant posts can you let us know what your tags are for the following social media accounts.

Your Instagram tag
Your Facebook tag
Your LinkedIn tag

Please follow our accounts and if you can share our strictly posts that would be great!

@seashelltrustuk Instagram

@seashelltrust Facebook

@seashelltrust LinkedIn

Dancer Bio - This will be used in our communications and in the event programme. Here is an example of one of our previous dancers blog:

Hi, I’m Kate. A total novice dancer who was initially drawn to Strictly Seashell by all the sequins and sparkle, but quickly realised that what really shone were the children and staff at Seashell. I’m 47, married, with three children (all totally embarrassed by my attempts to dance!) just retired after 25 years owning and running a print and graphics design company. I hope to raise awareness and funds for this truly amazing charity, and even gain some kudos with my kids!!!  

9. To help with planning of your dance lessons please tick the boxes below that applies to your availability:

	AM	PM	Evening
Monday	Monday AM	Monday PM	Monday Evening
Tuesday	Tuesday AM	Tuesday PM	Tuesday Evening
Wednesday	Wednesday AM	Wednesday PM	Wednesday Evening
Thursday	Thursday AM	Thursday PM	Thursday Evening
Friday	Friday AM	Friday PM	Friday Evening
Saturday	Saturday AM	Saturday PM	Saturday Evening
Sunday	Sunday AM	Sunday PM	Sunday Evening

10. Your height in cm

11. Do you have any previous or current medical issues that could affect you during dancing that we need to be aware of? This will also be considered in terms of what dance you perform.

Yes, please give brief details i.e. previous knee injury
No

Comment:

12. Do you have any previous dance experience? If yes please give some detail.

Yes
No