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
How many years have you studied ballet? *
Are you on pointe? If yes, for how many years? *
What other styles of dance have you studied and for how many years? *
Have you performed in a Nutcracker before? If yes, what roles have you held? *
What is your home studio?*
Additional Information:
Mandatory Rehearsals and Fees
I agree to make SUNDAY NUTCRACKER rehearsals a priority, including the MANDATORY SUNDAY of THANKSGIVING WEEKEND, and that I will pay the $250 production fee required *
I've read the above and agree.
I understand that dropping from the production once casting is completed may result in ineligibility the following year, pending circumstances.
I've read the above and agree.
Release and Waiver of Liability and Indemnity Agreement: Physical activities such as dance carry a risk of injury to participants. I hereby release Skyra Studios of any liability whatsoever arising out of an injury, damage or loss which may be sustained by said person during the course of involvement with the Nutcracker. This includes activities held in the studio, in theaters during performances or rehearsals, and during any other dance performance or rehearsal sponsored by the Skyra Studios. I have read this waiver agreement, understand its contents, and accept and assume such risks.
I've read the above and agree.
Enter your Full Name: *   
Other Questions/Comments: