Lois Ellyn Ballet Studio Registration

Nutcracker 2023 Audition Pre Registration

Nouveau Chamber Ballet
Today I am registering:*

4 - 12 years old13 - 17 years old18 years +
What audition are you signing up for?*

13 years old - Adult 10:00 am - 11:30 am4 - 12 years old 12:00 pm - 1:00 pm
Parent/Guardian Info
Name*

First NameLast Name
E-mail*
Primary Phone*

Area CodePhone Number
Relationship to Dancer*
Dancer Info
Dancer's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Dancer's E-mail
example@example.com
Dancer's Phone

Area CodePhone Number
Dancer's Height*
Dancer's Clothing Size*
Dancer's Clothing Size*
Any Health Conditions/Allergies?*

YesNo
If yes, please name
Dancer's Training*
Dancer's Experiences*
Rehearsal Conflicts*
How did you hear about the audition?*
Minors must be accompanied by a parent/legal guardian to audition.

Enrollment at Lois Ellyn Ballet Studio is not required in order to participate.

Male character dancers/actors who move well are also needed.

Not available on September 9th? Contact us to schedule a makeup audition class.

Mandatory Tech/Dress Rehearsals:

Saturday, December 9th, and Friday, December 15th.

Performances: Saturday, December 16th, and Sunday, December 17th at the Fullerton College Campus Theater
Liability and Personal Release

WARNING: As with any physical fitness program, dancing and dance exercises may result in injury. All students are urged to consult with their doctors regarding the advisability of dance lessons. Lois Ellyn Ballet Studio/Nouveau Chamber Ballet and its staff members assume no liability resulting from the student's/dancer's participation in our program and/or use of the premises, including but not limited to physical injury or illness. The student/dancer and/or his or her parent/guardian assume all risk of any injury while on the premises or traveling to or from the premises, including but not limited to physical injury or illness. I hereby give my permission to have me/my student’s likeness portrayed in photos, video, or film for the promotional or artistic use of Lois Ellyn Ballet Studio/Nouveau Chamber Ballet and its staff members. I hereby agree to read and comply with the rules and regulations of Lois Ellyn Ballet Studio. Lois Ellyn Ballet Studio is not responsible for personal belongings-please do not leave your items unattended.
I've read and agree to the information above.*

Yes
Signature*

Clear
Your dancer is registered for:

5 - 12 years old audition from 12:00 pm - 1:00 pm

September 9th, 2023

Where:

Lois Ellyn Ballet Studio

1090 W Valencia Dr,
Fullerton, CA, 92833
You're registered for:

13 & up old audition from 10:00 am - 11:30 am

September 9th, 2023

Where:

Lois Ellyn Ballet Studio

1090 W Valencia Dr,
Fullerton, CA, 92833

Dancers en pointe should bring their pointe shoes.
Lois Ellyn Studio
Home of Nouveau Chamber Ballet

1090 W. Valencia Dr, Fullerton, CA 92833

Email: nouveauchamberballet@gmail.com

Phone: (714) 526-3862
Should be Empty:

Nutcracker 2023 Audition Pre Registration

Parent/Guardian Info

Dancer Info