Register to audition
1) Complete all information below. Registration deadline is Jan. 29. **IF YOU ARE A WALK IN ON AUDITION DAY, YOU MUST COMPLETE THE ENTIRE FORM UNTIL YOU SEE THE CONFIRMATION SCREEN.**

2) Click SUBMIT button when you are done. (*Note: Registrations with missing or incomplete information will not submit.)

3) If you submit the registration correctly, a confirmation message will appear on your screen. Print or take a screenshot of the confirmation for your records.

Ballet Nebraska presents:
A MIDSUMMER NIGHT'S DREAM 2018 INFO PACKET: By checking the box below, I agree to the contents of this packet on behalf of the participating minor for whom I am the parent or legal guardian or on behalf of myself if I am a participant over 18 years of age: *
Required
STUDENT'S FIRST NAME *
Your answer
STUDENT'S LAST NAME *
Your answer
STUDENT'S AGE ON Feb. 3, 2018 *
Your answer
DATE OF BIRTH *
MM
/
DD
/
YYYY
STUDENT IS *
DOES STUDENT DANCE ON POINTE? *
HAS STUDENT PERFORMED IN A BALLET NEBRASKA PROFESSIONAL PRODUCTION BEFORE? *
Required
STUDENT LEOTARD SIZE *
Girls only. Boys enter "N/A"
Your answer
STUDENT DRESS SIZE *
Girls only. Boys enter "N/A"
Your answer
STUDENT PANT SIZE *
Your answer
STUDENT SHOE SIZE *
Your answer
STUDENT HAIR COLOR *
Your answer
PARENT'S FIRST NAME *
or Legal Guardian
Your answer
PARENT'S LAST NAME *
or Legal Guardian
Your answer
RELATIONSHIP TO STUDENT *
example: Mother, Father, Grandparent, etc.
Your answer
STREET ADDRESS *
Your answer
CITY *
Your answer
STATE *
Your answer
ZIP CODE *
Your answer
PRIMARY PHONE NUMBER *
Enter the main number at which we can easily contact a parent. Please format as XXX-XXX-XXXX.
Your answer
DOES PRIMARY PHONE NUMBER ACCEPT TEXTS? *
SECONDARY PHONE NUMBER *
Enter the best phone number to use if parent is unreachable at primary phone number. Please format as XXX-XXX-XXXX.
Your answer
DOES SECONDARY PHONE NUMBER ACCEPT TEXTS? *
PRIMARY EMAIL ADDRESS *
Audition results will be emailed to this address. This is Ballet Nebraska's primary form of communication with you.
Your answer
SECONDARY EMAIL ADDRESS
Leave blank if none. Do not re-enter your primary email.
Your answer
VOLUNTEERS: In order to be able to offer so many roles for children and make a large production like 'A Midsummer Night's Dream' possible, we rely on help from parent volunteers. We ask that all families volunteer in at least one of the areas below. *
Please indicate your areas of interest (see A MIDSUMMER NIGHT'S DREAM INFO PACKET for details). You will be directed to sign up for specific shifts in these areas at a later date. If we are unable to meet chaperone needs for our large student cast, we may need to implement a mandatory chaperone assignment for parents.
Required
Please indicate if you are willing to serve as a lead chaperone. *
Required
Please indicate if you would like more information about joining the ballet guild. *
The Ballet Nebraska Guild is an outstanding group of volunteers dedicated to supporting Ballet Nebraska through fundraising events such as merchandise boutiques and our annual Nutcracker Tea Party, while enjoying the company of other arts supporters. Children of guild members are invited to join the Junior Guild which hosts several special social, dance, and fundraising events throughout the year specifically for our youngest patrons.
Required
FULL NAME OF DANCE STUDIO WHERE STUDENT CURRENTLY TAKES CLASSES 2017-18 *
*NOTE: Students from all dance studios throughout the community are welcome to audition
Your answer
FULL NAME OF ACADEMIC SCHOOL STUDENT ATTENDS 2017-18 *
Your answer
TEACHER NAME *
MUST BE TEACHER NAME. **DO NOT** ENTER PARENT OR GUARDIAN NAME HERE UNLESS YOU ARE A REGISTERED HOME SCHOOL. (If several teachers, enter homeroom teacher's name & email on these questions)
Your answer
TEACHER EMAIL *
MUST BE TEACHER EMAIL. **DO NOT** ENTER PARENT OR GUARDIAN EMAIL HERE UNLESS YOU ARE A REGISTERED HOME SCHOOL.
Your answer
STUDENT'S ACADEMIC GRADE LEVEL FOR 2017-18 SCHOOL YEAR: *
Your answer
PARTICIPATION AGREEMENT AND RELEASE OF LIABILITY: By checking the box below, I agree to the following on behalf of the participating minor for whom I am the parent or legal guardian or on behalf of myself if I am a participant over 18 years of age: *
I understand and accept that my preparation for and participation in Ballet Nebraska’s production of A Midsummer Night's Dream (“the Production”) may expose me to physical risks. Some of the risks which may be present or may occur include, but are not limited to, physical injury or illness, death or disability. I hereby assume the above risks, which may be associated with my participation in or preparation for the Production. I also understand that my participation in or preparation for the Production may subject me to rigorous physical exertion. I hereby represent that I am in sufficient physical condition to accept a rigorous level of physical activity. If my health condition changes, such that at a later time I am not sure if I am in sufficient physical condition to accept the rigorous level of physical activity that the Production may require, I will so inform Ballet Nebraska (the “Company”). I accept responsibility for obtaining appropriate accident, health and hospitalization insurance to cover myself in the event of personal injury. I further understand and agree that the Company is not responsible for personal property that may be lost or stolen during my participation in the Production. I also give my consent to the Company and its affiliates to produce, reproduce and use, without charge, limitation or condition, photographs, film, footage, or other audio or video recordings or streaming Productions that may include my image, persona or voice for purposes of promoting, marketing, displaying or interpreting the Company’s Productions, services and/or productions worldwide. IN CONSIDERATION OF THE OPPORTUNITY TO PARTICIPATE IN THE PRODUCTION, I DO HEREBY COVENANT NOT TO SUE, AND HEREBY RELEASE AND AGREE TO HOLD HARMLESS, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, THE COMPANY AND ALL OF ITS AFFILIATES, OFFICERS, EMPLOYEES, DIRECTORS, CONTRACTORS, VOLUNTEERS, DANCERS, REPRESENTATIVES AND AGENTS FROM AND AGAINST ANY AND ALL LIABILITIES, ACTIONS, DAMAGES, EXPENSES, COSTS, CAUSES OF ACTION, DEBTS, CLAIMS AND DEMANDS OF EVERY KIND AND NATURE WHATSOEVER, WHICH I NOW HAVE OR WHICH MAY ARISE OUT OF, OR IN CONNECTION WITH, MY PARTICIPATION IN OR PREPARATION FOR THE PRODUCTION. THE TERMS HEREOF SHALL SERVE AS A RELEASE, INDEMNIFICATION, AND ASSUMPTION OF RISK FOR MYSELF AND MY HEIRS, EXECUTORS, PERSONAL REPRESENTATIVES, SUCCESSORS AND ADMINISTRATORS AND FOR ALL MEMBERS OF MY FAMILY, INCLUDING ANY MINORS ACCOMPANYING ME. Prior to signing this document, I had an adequate opportunity to read and understand it, consult with counsel of my choosing to discuss its impact on me, ask questions of the Company about it, and my questions were answered to my satisfaction. I further agree that if any portion of this Release is held to be invalid, illegal or unenforceable then the remaining provisions of this Release shall still continue in full force and effect and remain binding upon me and my successors, heirs and personal representatives to the greatest extent allowed by applicable law.
Required
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