Company Audition/Assessment Form

Company Audition/Assessment Form

Welcome to Ajax Dance Company! Thank you for your interest in ADC's Competitive Company. Please fill out the information below so we can set up your private assessment. Once we have received the below information someone from our team will contact you within 24 hours of your submission to schedule your time. Thank you, and we look forward to meeting you and your dancer!
Dancers Name*

First NameLast Name
Birthday *

MonthDayYear
Date
Parent's Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Have you been part of a competitive dance team before?

YesNo
How many years of dance experience do you have?
Ex: 1
What styles of dance do you have experience in?
Ballet, Jazz, Tap, Acro, Hip Hop
How many hours a week did your dancer train?(technique only)
Ex: 5
How many hours of ballet a week?
Ex: 1
How did you hear about us?
Ex: Competition, Facebook, Website
Participation Waiver
I am aware of the participation of my child in dance, online/virtual dance classes, and acrobatic dance involves inherent risk and hazards. I understand that the activity that my child is participating in is a dance, online/virtual dance class, or acrobatic dance class. I freely accept and fully assume (on behalf of myself/or my son/daughter) all such risks, dangers, and hazards and the possibility of injury, property damage, or loss resulting from such risks and hazards.

I voluntarily agree to release Ajax Dance Company from any and all liability for any loss, damage, injury or expense that myself or my child may suffer or incur as a result of participation in dance , online/virtual dance classes, and acrobatic dance lessons, including negligence on the part of Ajax Dance Company, it's owner, staff and/or contractors.

As the Parent or Guardian of the above stated participant, if I cannot be contacted, I authorize Ajax Dance Company to seek medical services in case of serious injuries or illness. I further agree to accept financial responsibility in excess of the benefits allowed by my health plan. I understand that if my child is participating in online/virtual dance classes that Ajax Dance Company cannot act to provide emergency services to your child.

I understand that Ajax Dance Company employees and/or its contractors will not assume responsibility for any lost or stolen property, or for any bodily or personal injury consisting of or arising out of an participation in any physical training or athletic activity included, but not limited to dance classes, online/virtual dance classes, or acrobatic dance.
As the participants (18 years or older) parent or guardian

I agree and fully consent to the participation waiverI do not agree or consent to the participation waiver
Signature

Clear
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Company Audition/Assessment Form

Participation Waiver