Burklyn Ballet Virtual Registration Form 2021
Please contact us at info@BurklynBallet.com or call 1-877-287-5596 if you have any questions.
I would like to be considered for: *
Required
Audition Date *
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Dancer's First Name *
Dancer's Last Name *
Date of Birth *
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Dancer's Age on Audition Day *
Current Ballet School *
How many years have you been training seriously? *
Are you on pointe? *
How long have you been on pointe for?
I am currently training... *
How many hours a week have you been training? *
Dancer Email *
Email address where you wish to receive confirmation and details.
Home Address *
Preferred Contact Phone Number *
Parent #1 Name *
Parent #2 Name
Optional
Parent Email *
Email address where you wish to receive confirmation and details.
PayPal email address of person paying the audition registration fee. *
We will use this information to validate payment.
Do you have a credit balance with Burklyn to apply to this season? *
Waiver *
I, the parent or legal guardian of the aforesaid student, agree on behalf of myself and said student not to hold Burklyn Ballet Theatre Inc., or the studio in which Burklyn Ballet Theatre holds its audition, the directors, faculty members or employees of either, liable for injuries or illness contracted while auditioning for Burklyn Ballet Theatre, The Intermediate Program, the Edinburgh Connection, and/or the Choreographic Project. I grant permission to Burklyn Ballet Theatre to use and display any photographs of this audition for commercial or non-commercial use. I also grant permission to Angela Whitehill, Founding Artistic Director of Burklyn Ballet Theatre, to use and display any photographs in any future publication, videos or books she might write.
Required
Dancer Electronic Signature *
Type your name to complete your online registration form.
Parent Electronic Signature *
Type your name to complete your dancer's online registration form.
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