Audition Number ________ Student's
Male ___ / Female ___ Age _____ Birth date______________ Height______________ Weight__________
Female dress size (or) Male pant
& jacket size ________________________(please specify male or female)
Please indicate if participantís
address if different from parents __________
City__________________________ State _________ Zip_____________
Work/Father________________ Cellular Phone/
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:
auditioned in the past for LBTís production of The Nutcracker? ___________ If you were placed in the Ballet, what
role(s) did you perform?
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.
list any medical or learning condition(s) and all previous & existing