Audition details are listed in the Audition Packet. Please visit for more information.
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
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
Dancer is auditioning for Performance Company. *
Dancer is auditioning for Competition Company.*
Is your dancer interested in being selected for a solo?*
Is your dancer interested in being selected for a trio?*
Dancer's previous experience: *
T-shirt Size*
Additional Information:
I understand that age and grade are considered in the selection and leveling of Companies, but
that skill level is the ultimate factor.

I've read the above and agree.
I have read the Audition Packet in its entirety and I understand what is required of myself
and my child as potential ROOTS Company members.

I've read the above and agree.
I understand that participation is required for all performances and events, unless specified as optional.
I've read the above and agree.
Code of Conduct
I have read and understand the ROOTS Dance Company Code of Conduct.
I've read the above and agree.
Weekly Commitment
I understand that a weekly time commitment is required of ROOTS Company Members, both Performance and Competition teams. There are no exceptions to this requirement.
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: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*