VIRTUAL POINTE SHOE FITTING · VIRTUAL POINTE SHOE FITTING The Shoe Room’s “Virtual Fitting”...
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1 of 7 | The Shoe Room® 404 Jarvis Street Toronto ON Canada M4Y 2G6 416-964-5100 Toll Free: 1-800-387-0785 [email protected] VIRTUAL POINTE SHOE FITTING The Shoe Room’s “Virtual Fitting” system allows for long distance pointe shoe fittings. Our expert fitters will work with any dance student who does not have access to the store in Toronto to provide the same excellent fitting and customer service. Please print and complete this form. Step 1 – About You Your information is confidential. The more you can tell us, the better we can fit you. * Required Information * First Name: _____________________ * Last Name: _____________________________ * Dance School: ______________________________________________________________ * Email: __________________________ * Phone: ________________________________ * Mailing Address: ____________________________________________________________ * City: ___________________________ * Province / State: _________________________ * Postal Code / ZIP: ________________ Age: 10 11 12 13 14 15 16 17 18 19-25 26-30 31-35 over 35 * Height: _____ feet & _____ inches Weight (lbs): 85-95 96-100 101-105 106-110 111-115 116-120 121-125 126-130 131-135 136-140 141-145 over 145
Transcript of VIRTUAL POINTE SHOE FITTING · VIRTUAL POINTE SHOE FITTING The Shoe Room’s “Virtual Fitting”...
1 of 7 | The Shoe Room®
404 Jarvis Street
Toronto ON Canada M4Y 2G6
416-964-5100 Toll Free: 1-800-387-0785 [email protected]
VIRTUAL POINTE SHOE FITTING
The Shoe Room’s “Virtual Fitting” system allows for long distance pointe shoe fittings. Our expert fitters will work with any dance student who does not have access to the store in Toronto to provide the same excellent fitting and customer service. Please print and complete this form.
Step 1 – About You Your information is confidential. The more you can tell us, the better we can fit you. * Required Information * First Name: _____________________ * Last Name: _____________________________ * Dance School: ______________________________________________________________ * Email: __________________________ * Phone: ________________________________ * Mailing Address: ____________________________________________________________ * City: ___________________________ * Province / State: _________________________ * Postal Code / ZIP: ________________
Age: �10 �11 �12 �13 �14
�15 �16 �17 �18 �19-25
�26-30 �31-35 �over 35
* Height: _____ feet & _____ inches
Weight (lbs): �85-95 �96-100 �101-105 �106-110 �111-115
�116-120 �121-125 �126-130 �131-135 �136-140
�141-145 �over 145
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* Pointe Work Level: �Beginner � Intermediate �Advanced
� Pre-professional �Professional �Teacher
How many years have you been on pointe?
�new �less than 1 �1 �2 �3 �4 �5 �6 �7 �+7
How many hours per week do you dance on pointe?
�less than 1 �1-2 �2-3 �3-4 �4-5 �+5
* How would you describe your arches? �low �high �medium �very high
* Strength Level: �weak �moderate �strong
* Flexibility: �hypomobile �moderate �hypermobile
* Street Shoe Size & Width (US): ____ (ex: 8½) �narrow �medium �wide
* Pads or Cushions – Padding such as lambswool, gel pads, ouch pouches, etc. affect how your shoes fit. Please tell us what you wear. ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Do you require ribbon, elastic or Ouch Pouches with your shoes? Please specify. (There is an extra charge for these items.) ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________
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If you have worn pointe shoes before please list the brand, style, size and width of your current and past shoes, and if your current shoes still fit. Also, what did you like and not like about each pair? What type of pointe shoe are you looking for? ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Please list any injuries affecting your pointework. ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Is there anything else we should know? ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Step 2 – Photos of Your Feet (optional) Photos of your feet are a big help. If you have access to a digital camera or a cell phone camera, please take pictures of your feet – one looking down at the top of the feet standing flat, and the other looking at the inner profile, fully pointed. See examples.
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Step 3 – Trace Your Feet Accurate foot tracings are essential. There is one for each foot. Please refer to the Tracing Form at the end of this PDF, and follow the instructions provided. Step 4 – Credit Card Information (optional) If you do not wish to provide credit card information here, please contact us at 1-800-387-0785 (toll free) or 416-964-5100. Name on card: _______________________________________________________________ Card number: _______________________________ Expiry Date: __________________
Type: □ Mastercard □ Visa □ American Express
Signature: __________________________________________________________________ Step 5 – Mail to Us! Please mail this completed form with photos (optional) and tracings of your feet. Please do NOT
fax tracings, as they can be distorted.
The Shoe Room 404 Jarvis Street
Toronto ON Canada M4Y 2G6
Canada’s National Ballet School (NBS) and The Shoe Room are committed to protecting your privacy. The information you provide will be used internally at NBS and The Shoe Room. If you have questions about our privacy policy, please call 416.964.3780 and ask for the Privacy Officer or email [email protected]. You can also read NBS's privacy policy at www.theshoeroom.ca.
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TRACING FORM INSTRUCTIONS
1. On the Left Foot Tracing Form, align your left foot to the heel line, with your heel next to the Heel Line and the ball of your foot next against the numbered edge. Be sure to position your foot on the graph so it does not spread beyond the heel line & numbered edge. 2. Put your full weight on the foot and carefully trace it with a pen (not a pencil or marker). Hold the pen in an upright, vertical position and make a clean, unbroken line. 3. Repeat for the right foot using the Right Foot Tracing Form. 4. Precisely measure the Reference Line (see example – red line in the diagram on the tracing form) for each foot and enter the result in the space provided on the tracing form. Tip: If you’re confident your tracings are accurate, you may find it easier to measure the Reference Line on your tracing rather than on your foot. 5. Write your name and daytime phone number inside each of the tracings.
6 of 7 | The Shoe Room®
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