Nutcracker with a Twist Audition Registration Form 2024

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Name
First Name
Last Name
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Personal Information
Date of Birth
Age
Cell Phone (parent guardian cell if dancer is a minor)
email
Current Clothing Size
Parent/Guardian Name (if dancer is a minor)
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Styles Trained in
4
Currently Enrolled in Classes at En Pointe Dance & Fitness?
YESNO
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Roles of Interest
Huge
Large
Normal
Small
Ok
Ok
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Emergency Contact Information
Contact Name
Relationship to Student
Cell Phone
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LIABILITY RELEASEIndicated in the space below are any health problems or conditions of which the studio should be aware (such as heart, back, medical, allergy, muscular, pregnancy, diabetes, epilepsy, chemical or neurological condition, special medication, knee/kidney/shoulder problems, etc.). I understand that risk of injury is inherent in any physical activity and I knowingly and voluntarily accept that risk. I, the undersigned, for myself, my heirs, administrators, and executors, herby waive and release En Pointe Dance & Fitness, individually and , En Pointe Inc. and its staff from any and all claims or damages of any kind arising out of my participation in the exercise and/or dance program of En Pointe Dance & Fitness. I certify that I am in proper physical condition to participate in the exercise/dance program and that I have been examined by a licensed physician and found to be in proper physical condition to participate in said program. I, the undersigned, do herby authorize En Pointe Dance & Fitness or her designated agents (being teachers or administrators employed by En Pointe Dance & Fitness.) to obtain medical treatment for myself in emergency situations if needed. I understand that I am responsible for any medical expenses and that the absence of health insurance does not make release En Pointe Dance & Fitness responsible for payment of medical expenses. This authority includes the power to authorize any and all treatment deemed necessary under the circumstances by a licensed physician. This power is in essence a power of attorney and shall remain in effect for one year from the date signed below. Permission is granted to En Pointe Dance & Fitness to use photographs of myself or my child for publicity purposes. I have read, understood and agree to be bound by the above statement and have been given a copy of En Pointe Dance & Fitness Studio Policies and Dress Code ( please print your name, sign & date.)
Clear
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Acknowledgment of Audition FeeI understand that a non-refundable fee of $25 will be charged for all dancers auditioning. If a dancer is cast in a roll, the audition fee will be applied towards their show and/or costume fees.
Clear
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Audition Fee Payment
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ORDER SUMMARY
Total costUSD
Nutcracker Audition FeeAudition Fee are non refundable. If you are cast in a role, your audition fee will be discounted from your show fees.
$25.00Edit
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Total cost $0.00
Payment Methods
Credit Card
First Name
Last Name
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
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