Nutcracker Audition Registration 2011

If have more than one child to register, you will need to register each child individually. In this case, once you have added one registration to your cart, simply click "continue shopping" and you will be brought right back to this page.

First Name: *

Last Name: *

Middle Initial:

Age as of September 1, 2011: *

Mother's Name (First & Last): *

Father's Name (First & Last): *

Do parents reside together?: *

Yes

If no, who is the child's residential parent?:

Home phone number: *

Mother's cell number:

Father's cell number:

Dancer's cell number:

Street address: *

City: *

State: *

Zip Code: *

Date of Birth (MM/DD/YY): *

Grade Level 2011-2012: *

Parent's Primary Email: *

Dancer's Email:

Current Dance School:

Do you have siblings auditioning?: *

Yes

Sibling's Names:

Have you been a Ballet West Nutcracker Cast Member in previous years?: *

Yes

If yes, which year(s)?:

Previous Roles:

Notes (information you feel we need to know):

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Nutcracker Audition Registration 2011