Registration
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DANCE TEAM (Company) AUDITIONS
Please sign up and attend your age group time slots.
Call 904-406-4161 or email us at nfdc@comcast.net with any questions.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
*
Adult Student
Father
Grandparent
Guardian
Mother
Other (Step Parent, Aunt, Uncle)
Parent
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
*
Emergency Contact Info
*
Students entered below will be added to your family's account
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Name of academic school (if you attend one):
Allergies or other med/special needs (leave blank if none):
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Name of academic school (if you attend one):
Allergies or other med/special needs (leave blank if none):
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Name of academic school (if you attend one):
Allergies or other med/special needs (leave blank if none):
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Name of academic school (if you attend one):
Allergies or other med/special needs (leave blank if none):
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Name of academic school (if you attend one):
Allergies or other med/special needs (leave blank if none):
Questions/Options:
Please list any health concerns and precautions. (i.e. "Asthma- has rescue inhaler in bag") Type "none" if none.
*
What dance style(s) are you auditioning for? -Jazz -Modern/Contemporary -Hiphop -Tap -Acro
*
Please write if you are interested in a solo, duet, or trio and what style of dance. (i.e. "Trio- Hiphop") Type "none" if none. Assume private lessons will be on weekends.
*
Please list any dates you are already committed to for summer. Type "none" if none.
*
What school will you be attending next year? (Used for scheduling purposes)
Additional Information:
Asbury Art Ctr. Liability Waiver
(Show-Hide Details)
Parents and/or legal guardians of minor students and adult students assume a certain amount of risk with dance, tumbling, fitness related activities and agree to waive the right to any legal action for any injury sustained on studio property resulting from normal dance activity or any other activity conducted by the students before, during or after class time.
I've read the above and agree.
Payment Policy
(Show-Hide Details)
I understand that my $15 non-refundable audition fee will be processed upon review of my registration.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
Credit Card Verification:
Card Number:
Visa
Mastercard
Amex
Discover
Name as it appears on card:
Nickname:
Card Expiration Month:
01
02
03
04
05
06
07
08
09
10
11
12
Exp Year:
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
Address Line 1:
Address Line 2:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip:
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