Competition/ Performance Audition Registration Form

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Event Timing: Aug 7th @ 2pm
Contact us at 310-922-4323 or email info@dancer4lifela.com

Dancers First & Last Name *

Dancers Email (if applicable) *

Age & Height *

Male or Female *

male

Female

Date of Birth *

YYYY

Parent Name , Phone number, Email *

How would you be an asset to the team? *

What other talents do you have besides dance? *

Dance Experience *

Can you or others help with production (sew, paint, publicity, box office, stage hand, etc.)?
*

Unavailability Schedule:
*

Participant Release: I authorize Dancer 4 Life Dance Studio to its authority, to (1) Record my participation and appearance on videotape, audiotape, film, photograph or any other medium; (2) Use my name, likeness, voice and/or biographical material in connection thereto; and (3) Exhibit or distribute such material in whole or in part without restrictions or limitation for any publicity or promotional purpose which Dancer 4 Life Dance Studio , and those deem appropriate. ·
*

Parent First & Last Name

By initialing you agree that all above information is correct

Dancer & Parent( if a minor)

Initial and Date Below

Submit

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