2018 Scholarship Audition Registration
Audition: Sunday, October 14 8 AM
Audition Address: 701 N. Tryon Street, Charlotte, NC 28202
Contact us at (704) 372-0101 ext.2775 or kpereira@charlotteballet.org

Please complete registration with $30 payment via Minbody >> http://bit.ly/2NujNVA

Student Name *
Student Email *
Please upload student headshot
School Name *
Please select your grade level *
For which scholarship would you like to be considered? *
Required
GPA *
ACT Score *
Please list your dance training including your goals, dance styles, achievements, and awards.
In recognizing that me or my child’s attendance and participation in this program may expose me or him/her to risk of injury or harm, I the Parent(s)/Guardian(s) hereby waive and release and agree to hold harmless Charlotte Ballet and its Employees, Sponsors, Instructors, and any other persons associated with the program from actions, claim, or damages that my child may suffer as a result of his/her participation in aforementioned program classes/activities. I further certify that my child is physically fit and capable to participate in the program for which he/she is registered. I also give permission for the free and unrestricted use of my child’s name and picture for purposes of publicizing the Charlotte Ballet and/or the program in any broadcast, telecast or written account of the program.
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