Registration

Do you want to be part of our award winning competition team? Talented and dedicated dancers are selected at our Company Auditions. Sign up to audition today!
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
(Not Contact #1 or #2)*
 
 
 
Questions/Options:
How did you hear about us? *
Dancer's Name*
Date of Birth*
Medical Concerns/Allergies/Disabilities/Other*
Years of dance experience?*
State where and when your previous dance experience took place.*
EIRSDC members compete in Acro, Hip Hop, Jazz, Lyrical and Tap. Which genres would your child like to compete in?*
Interested in a solo, duet, trio and/or group dances?*
Why are you auditioning? What are your goals as a dancer? *
Have you ever competed in dance before? *
Name of dance team/company. If no, type N/A. *
Are you involved in any other school or extracurricular activities? *
 
Additional Information:
 
Audition Confirmation
I understand I will receive my audition time and audition number via e-mail (eirsdc@eirstudio.com) once my EIRSDC Audition Application and $25.00 application fee are received.
I've read the above and agree.
 
Allowed into the Studio Room
During auditions, only dancers auditioning are allowed into the studio room. NO EXCEPTIONS.
I've read the above and agree.
 
Final Placements
Final placements are contingent upon the dancer's audition scores and attitude displayed during the audition.
I've read the above and agree.
 
Assumption of Risk & Release of Liability
I understand and acknowledge there is a risk of injury inherent in activities at the Studio and that personal injury and/or damage to property may result during participation in the Studio classes. I acknowledge that the Student is physically able to safely participate in the classes selected. I give permission for the Student to perform stunts, aerials, lifts or other activities, related to their respective class, at the Studio and in any and all performances. Account Holder agrees to assume all risk associated with the Student's participation in instruction, rehearsal, performance, and related activities. In consideration of receiving instruction at the Studio, I hereby waive, release and discharge the Studio, its officers, directors, employees, agents, successors, sponsors, legal representatives and assigns, from all present and future claims and liabilities of any kind, whether for bodily injury, property damage, or other loss of Student or Account Holder arising out of participation in Studio classes whether conducted on or off Studio premises.
I've read the above and agree.
 
Media Release
The news media or Expressions in Rhythm Studio staff may ask to interview and/or photograph our Expressers, which may appear on television programs, news reports, and/or the Expressions in Rhythm Studio website. I give permission for Expresser to be videotaped and/or photographed during but not limited to scheduled classes, activities and performances sponsored by Expressions in Rhythm Studio throughout the year. I further give Expressions in Rhythm Studio permission to use video or images of the Expresser in promotional materials, including but not limited to flyers, mailers, brochures, websites and in-Studio displays.
I've read the above and agree.
 
Online Web Registration
Dancers are notified about their placement or elimination within 7 days of the audition.
I've read the above and agree.
 
Agreement
I have read and understand the Dance Company Audition Form for Expressions of Rhythm Studio and agree to abide by said policies.
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*