I confirm that I am at least 16 years of age
YesNo

I confirm that I live in the UK, work in the UK or represent the UK in dance competitions
YesNo

Are you currently a UKEDC Member?
YesNo

Which equality dance events have you competed at before, if any?

If you are awarded the scholarship do you give permission for the UKEDC to use your name in public announcements including communications to members, social media, the UKEDC website?
YesNo

I hereby affirm that the information provided above is correct to the best of my knowledge and I confirm that I understand that the scholarship may be withdrawn if the information provided above is incorrect or misleading