NDC Dynasty Jr. Dance Company Audition Form

Competitve Dance Team Auditions

Location: 5121 Henderson Rd. Temple Hills, MD 20748.

Dancers must wear black dance attire and bring sneakers. Mask optional.

Dancers must be accompanied by an adult.

Date: Saturday August 1st 2pm-5pm.

Mandatory Bootcamp Aug 9, 10, 11.

Times

2pm-3:30pm ages 4-9/LVL 1-3

3:30pm-5pm ages 10-18/LVL 3-6

Notes

Mandatory Parent Meeting August 9 @ 4pm.

Mandatory Boot camp begins August 9th at 4pm after making auditions.

No Audition Fee necessary.

Dancer Information

Dancer's Name

First Name Last Name

Birth Date

Month Day Year

Level Placement

Gender

Male Female

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Parent/Guardian Information

Name

First Name Last Name

Number

Area Code Phone Number

E-mail

Emergency Information

Emergency Contact's Name

First Name Last Name

Relationship

Phone Number

Area Code Phone Number

Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Neema Dance Collective during the selected audition. In exchange for the acceptance of said child’s candidacy by Neema Dance Collective ., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Neema Dance Collective, LLC and all its respective officers, agents, and representatives from any and all liability for injuries and or diseases to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against Neema Dance Collective including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

NDC Dynasty Jr. Dance Company Auditions