General BALLET Company Audition Registration Form
Friday, July 18, 2014: Springville studio
Please
circle: Lehi or Springville Auditioning for: Ballet Utah Ballet Utah II Ballet Utah III
Audition Number: ______________ Final Placement: _______________________________
Dancer Name: ____________________________________________________________
Age TODAY: _________________________, Age by December 1: __________________
Dancer Mobile phone (if applicable) : ________________________________
Dancer Email (if applicable): _______________________________________
Parent Name: _______________________________________________________
Email: ___________________________________________________________
Email: ___________________________________________________________
Mobile Phone: _____________________________________________________
Home Phone:______________________________________________________
Address: __________________________________________________________
FOR OFFICE USE ONLY:
Check
when Paid/Completed:
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Sizing:
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Administration Notes:
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Name on Card:
_______________________________________________
Credit Card Number:
_______________________________________________
Expiration: CVC (on back of card):
_____________________ _____________________
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USE CARD ON FILE
_____________
(please initial)
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Pre-Registration Form: Credit Card Payment due July 17, 2014
Dancer Name:
____________________
Ballet Jazz Both Amount: $_________ |
Name on Card:
_______________________________________________
Credit Card Number:
_______________________________________________
Expiration: CVC (on back of card):
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USE CARD ON FILE
____________
(please initial)
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