Registration

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Students auditioning via video should submit a current head shot, recent photo in first arabesque, and the $40 non-refundable audition fee along with a video no longer than 15 minutes in length. || Please review the video audition guidelines by visiting our website at louisvilleballet.org/intensive. DVD or web-hosted (YouTube) video only, please. Please label all materials with your name and age. || Videos can be submitted by email to summerintensive@louisvilleballet.org or by mail to: Louisville Ballet Attn: Amanda Rollins 315 E Main St, Louisville, KY 40202 || The deadline for video audition submission is February 15, 2021.

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*

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	Academic School:	Ballet Class Level:
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Ethnicity/Race (Optional):

Questions/Options:


Student Name*
Student Gender
Student Date of Birth*
Student Race/Ethnicity (Used for grant purposes only)
Student Email Address*
Student Phone Number*
Parent/Guardian Name(s)*
Parent/Guardian Email Address*
Parent/Guardian Number*
Mailing Address (Street Address, City, State, Zip, & County)*
Emergency Contact Name, Number, & Relation to Student*
Current Dance School*
Please list the dance classes you are currently attending and number of hours per week.*
How long have you been at your current dance school?*
How many years have you been en pointe?*
What is the most recent summer program you have attended?*
How did you hear about the Louisville Ballet's Summer Intensive program?*
Are you interested in participating in the Summer Intensive housing program?*
If yes, are you interested in applying for the Resident Assistant position?
Please list all relevant medical conditions that might affect your audition.*

Additional Information:

Registration Agreement

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I've read the above and agree.

Medical Release

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I've read the above and agree.

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