Parent Questionnaire

At OlgaMirza.Ballet, we believe that every child is unique – with their own goals, needs, strengths, and challenges. To help us provide the best possible ballet education for your child, we ask all parents to complete a short mandatory questionnaire BEFORE attending the class.

This helps us:

Understand your child’s personal goals, whether they dance as enthusiasts, or want to pursue a professional path.
Learn about any medical conditions, injuries, or developmental needs that may require special attention or adaptations in class.
Take into account any emotional or psychological considerations, so we can create a safe, supportive, and motivating environment.
Align with your expectations as a parent, we would like to know what kind of experience you want for you kid at our School.
Communicate more clearly and effectively between teachers, parents, and students.

Your answers will remain confidential and will not be shared with third parties. All personal data is collected and processed in accordance with the General Data Protection Regulation (GDPR). We are committed to protecting your privacy and handling all information with care and responsibility.

By working together, we can better support your child’s development and ensure they thrive – both as dancers and as young individuals!

Please confirm your consent below

I have read and understood the privacy statement above, and I give my consent for OlgaMirza.Ballet to store and use this information for educational and safety-related purposes in accordance with GDPR.

Parent/Guardian Name:

Date

1. CHILD & FAMILY INFORMATION

Child’s Full Name:

Child’s Date of Birth:

Current Ballet Level (if known):

Parent/Guardian Full Name:

Preferred Contact

Phone Email

Contact Phone:

Contact Email:

2. INTENTIONS & GOALS

1) What is the primary reason you enrolled your child in ballet classes at OlgaMirza.Ballet?

General physical development Improve posture, grace, and coordination Build discipline, focus and confidence Explore creative movement and expression Prepare for a future in professional dance Perform on stage

2) What specific skills or qualities would you like your child to develop THE MOST through ballet?

3) In 1–2 years, where would you like to see your child in ballet?

Still enjoying same classes Performing in shows or competitions Advancing to a higher technical level Preparing for entrance into a pre-professional program Not sure yet

4) Does your child want a professional career in dance or ballet?

Yes No Too early to say

3. PHYSICAL & EMOTIONAL WELL-BEING

1) Has your child ever been seen by a:

Physical therapist Psychologist / counselor Other doctors None

If yes, please briefly explain and list any relevant recommendations:

2) Does your child have any current or past injuries, physical limitations, or chronic conditions we should be aware of (e.g., flat feet, scoliosis, asthma)? een seen by a:

No Yes

If yes, please briefly explain and list any relevant recommendations:

3) Are there any emotional, behavioral, or sensory challenges that might a ect your child’s participation (e.g., anxiety, attention di iculties, noise sensitivity)?

No Yes

If yes, please briefly explain and list any relevant recommendations:

4) Does your child take any medications we should be aware of during class time?

No Yes

If yes, please list:

4. CLASSROOM EXPERIENCE

1) How does your child usually behave in group class settings?

Very focused and engaged Generally cooperative, may need reminders Easily distracted or restless Shy or reserved in group settings

2) What is the best way for us to communicate with you?

SMS Email Phone call

5. ADDITIONAL INSIGHT

2) Do you have any concerns or hesitations about your child’s participation in ballet?

No Yes

If yes, please explain and list any relevant recommendations: