Audition Registration

Audition Number ________ Student's Name______________________________________________

Male ___ / Female ___ Age _____ Birth date______________ Height______________ Weight__________

Female dress size (or) Male pant & jacket size ________________________(please specify male or female)

Parents’ Name ________________________________________________

Please indicate if participant’s address if different from parents __________

Address ______________________________________________________

City__________________________ State _________ Zip_____________

Home Phone_________________ญญ_ Work/Mother ____________________ญญญญญญญ

Work/Father________________ Cellular Phone/ Mother:___________________Father:________________

E-mail address__________________________________________________

Please list dance school currently attending and the School Director or dance instructor: _____________________________________________________________________________________

ONLY ONE (1) ABSENCE IS ALLOWED.

All Nutcracker rehearsals are scheduled on the weekends -Friday evenings, Saturday, & Sunday afternoons.

Party Scene children will require 2 rehearsals per weekend. Please indicate if you would prefer NOT to be casted in this role: _____________.

Please indicate if you have any dance obligations that would affect weekend rehearsals:

Have you auditioned in the past for LBT’s production of The Nutcracker? ___________ If you were placed in the Ballet, what role(s) did you perform?

_______________________________________________________

Photography Model Release: If you or your child is selected to perform in The Nutcracker, LBT requests permission to use performance photographs for promotional reasons only. LBT will not publicize the name of any student under 18 years of age.

______Yes, LBT has my permission to use performance photo(s) of my child/ myself for promotional purposes

______No, I do not give LBT permission to use performance photography that includes my child/ myself.

Please list any medical or learning condition(s) and all previous & existing injuries:

__________________________________________________________________________________________