CityDance Application
This form must be completed to receive information about our CityDance Auditions. For questions about this form, please email sberrylee@usaibc.com or call 601-355-9853
Email *
Child's Name (First & Last) *
Child's Birthday *
MM
/
DD
/
YYYY
Jackson Public School, Charter School, Or Virtual School Attending *
Current Grade in school *
Parent/Guardians Name *
Phone number *
Please fill in the child's clothing size.
XS-Child
S-Child
M-Child
L-Child
XL-Child
XS- Adult
S-Adult
M-Adult
L-Adult
XL-Adult
Shirt
Pants
Child's Shoe size
Mailing Address
Zip Code
If we were forced to cancel in-person classes due to COVID-19, does your child have access to a device in which they could take the class via Zoom? (This will NOT affect your child's eligibility for the program) *
Please list any siblings also auditioning for the program.
Has your child ever taken dance lessons before? (Previous experience is NOT required)
Clear selection
If yes, where did your child take lessons?
Has your child been accepted into the CityDance Program before?
Clear selection
If yes, What year?
Any additional information or comments we need to know about your child?
Submit
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