Jazz Registration Form for Auditions: Use this form to PRE-register (drop in Tuition box) to save time. Must be turned in on Thursday, July 17 to use credit card for audition fee.

General JAZZ Company Audition Registration Form

Saturday, July 19, 2014: Lindon studio

Please circle: Lehi or Springville Auditioning for: Topaz/Sapphire Emerald/Ruby JDC

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 ______) Jazz Company Fee $______________ Total: fees ____________________ You may pay in separate payments 1st payment: (July 19: 100 minimum $___________ 2nd payment (August 15) $______________ 3rd payment (September 15) $_____________	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)