Registration

Please bring along completed audition form and photos (first arabesque and headshot). A type-able audition form should be downloaded from the Nutmeg Ballet website: https://nutmegconservatory.org/app/uploads/2017/01/Nutmeg-Audition-Form.pdf
Event:
Start Date/Time: End Date/Time:
Fee per Student: 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)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
 
Additional Information:
 
Release
As legal the guardian of my designated minor participant(s) or the adult participant, I confirm that I am familiar with the activities that will take place and I hereby consent to the following:

TERMS AND CONDITIONS

I/We further discharge and release the Nutmeg Ballet Conservatory and the audition location and its trustees, officers, and employees, from any and all liability for injury, loss, damage, obligation, expense, or penalty sustained by the Student arising out of or in connection with the Student’s participation in the audition.
I've read the above and agree.
 
Recordings
I/We understand that any recording made by means of photo, movie, video or any other visual or audiovisual equipment will
remain the exclusive property of the Nutmeg Ballet as far as circulation, reproduction, distribution, projection diffusion or
broadcasting is concerned. These recordings may also be used for commercial or promotional purposes.
I've read the above and agree.
 
Results
The results of your audition will be emailed to you within two weeks of the audition. For more information,
please contact The Nutmeg Conservatory at 860.482.4413 ext. 301.
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:*