Ballet Audition Tour Registration Form - Kirov Academy of Washington D.C.

Dancer Information

Please select your audition location.*

Dancer's Name*

First Middle Last

Birthdate*

Gender*

Male
Female

Age at the Start of the Program (Sunday, June 21st, 2020)*

Our program is open to students between the ages 10 - 19

Please enter a number from 10 to 19.

Country of Citizenship*

Country

Primary Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Email Address*

Audition results will be sent to this email address

Enter Email Confirm Email

Dancer's Phone

Are you registering on-site?*

Only click "yes" if you are currently registering while at the audition venue.

Yes (day of audition)
No (pre-registration)

Parent Information

With whom can we keep in touch during the dancer's audition process?

Parent/Guardian Name*

Prefix First Middle Last

Parent/Guardian Gender*

Male
Female

Relationship to Applicant*

Is your address the same as your dancer's?*

Yes
No

Parent/Guardian Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian Email*

Parent/Guardian Phone*

Survey Questions

Please choose your child's expected grade level for the 2019-2020 school year*

Name of Current Dance School*

Address of Current Dance School*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How many years of dance experience does the auditioning student have?*

How did you hear about us?*

Please select all that apply

Word of Mouth / Referred by
Google Search
Social Media - Facebook, Youtube, Instagram
Dance Magazine or Pointe Magazine
Flyers, Posters
Kirov Academy Direct Mail

Referred by:*

Are you interested in attending the Year-Round Program?*

Our full-time resident students take both academics and ballet classes. Commuter students can take the full program or ballet only.

Yes (resident, ballet + academics)
Yes (commuter, ballet + academics)
Yes (commuter, ballet only)
No
Maybe

Payment

Domestic Audition Fee*

Price:

3% Fee*

3% credit/debit card fee

Price: $0.00

International Audition Fee*

Price:

3% Fee*

3% credit/debit card fee

Price: $0.00

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

JCB

Maestro

Card Number Expiration Date Security Code Cardholder Name

Consent*

By submitting this audition registration form, the Parent/Legal Guardian acknowledges the following provisions:

1. I agree that the Kirov Academy of Ballet is not liable and is held harmless from any losses, injuries, damages or expenses related to the above-named student's participation as well as visitors in association with the above-named student. Any and all claims against the Academy are waived. In turn, any damage and/or harm caused by the student and/or visitor will be the responsibility of the parent/legal guardian.

2. I acknowledge that the above-named student may be physically touched from time to time during his/her audition and will not hold the Academy liable for such touching.

If you agree to the above statements, please submit this form and wait for a confirmation receipt email.

Please click here to agree

Kirov Academy of Ballet Audition Tour Registration

Dancer Information

Parent Information

Survey Questions

Payment