Registration

A complete listing of the Louisville Ballet's 2022 Summer Intensive audition tour locations and dates can be found at louisvilleballet.org/intensive. Class size is limited. For questions, please email summerintensive@louisvilleballet.org.
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
 
Questions/Options:
Summer Intensive Audition City*
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 are the most recent summer programs 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.
 
Photo Submission Agreement
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I've read the above and agree.
 
Audition Day Agreement
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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:*