Ballet Audition: Registration Form (return by Thursday, July 17, 2014 to use credit card for audition fee) Audition forms will be available on the day of auditions.

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: ___________________________________________________________

Mobile Phone: _____________________________________________________

Home Phone:______________________________________________________

Address: __________________________________________________________

FOR OFFICE USE ONLY:

Check when Paid/Completed: Audition Fee: $15 (each audition) Company Contract Signed (parent initial ______) Ballet Company Fee $__________ You may pay in staggered payments $100 down cash/check/credit card) 1st payment: (July 18: $100min) $_____________ 2nd Payment: August 1 $___________________ 3rd Payment: September 1 $___________________	Sizing: Height: Bust: Hips: Waist: Girth T-shirt child or adult S M L XL Leotard Size:		Administration Notes:
Name on Card: _______________________________________________ Credit Card Number: _______________________________________________ Expiration: CVC (on back of card): _____________________ _____________________		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):

USE CARD ON FILE ____________ (please initial)