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Video or On-Site Audition Application Form
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Step
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6
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Choose your audition type:
*
$45 - Online Video Submission
You can upload a video to YouTube or Vimeo and provide the url in this application.
Paste YouTube/Vimeo Link Here:
Which program(s) are you applying for?
*
Select all that apply.
Year-Round Program for middle and high school students
Pre-Professional Program for high school graduates
Gifted & Talented Program for middle and high school students
Please choose your child's expected academic grade for the 2021-2022 school year:
*
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
High School Graduate
Which of these programs are you interested in?
*
2021-2022 Year-Round Program beginning in September (middle and high school students)
2021-2022 Year-Round Program beginning in January (middle and high school students)
2021-2022 Pre-Professional Program beginning in September (high school graduates)
2021-2022 Pre-Professional Program beginning in January (high school graduates)
2021 Gifted & Talented Program, beginning in September and January (Middle and Highschool Students)
Applicant Information
Name
*
First
Middle
Last
Gender
*
Male
Female
Birthdate
*
MM slash DD slash YYYY
Age at Time of Audition
*
Please enter a number less than or equal to
21
.
If you are over 21, I'm sorry, we don't have any programs that are appropriate for your age.
Country of Citizenship
*
English Language Ability
*
Native Speaker
Advanced (can speak/read/write easily with few mistakes)
High Intermediate (can speak/read/write for academics)
Low Intermediate (can speak/read/write for socializing)
Beginner (can speak/read/write simple words and phrases)
No English
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Applicant's Email Address
*
Applicant's Cell Phone
Previous Music Training
Name of Current/Most Recent Music School or Teacher
*
How did you hear about us?
*
Word of Mouth / Referred By
Google Search
Social Media - Facebook, Youtube, Instagram
Flyers, Posters
Kirov Academy Direct Mail
Referred By
Parent/Guardian Information
With whom can we keep in touch during the dancer's audition process?
Parent/Guardian Name (no nicknames please)
*
First
Last
Gender
*
Male
Female
Relationship to Applicant
*
Parent
Legal Guardian
Step-parent
Grandparent
Teacher
Same Address as Applicant?
*
Yes
No
Parent/Guardian Address
*
If address is different from applicant's, please fill it in here (street, city, state/province, country, zip)
Parent/Guardian Email
*
Parent/Guardian Cell Phone
*
Payment
Please allow 2-5 business days for payment processing.
Registration Fees
$45 - Online Video Submission
$45 - On-Site Audition
Submission Type
*
Online Video
Audition at Kirov Academy
3% Convenience Fee
Price:
Total
$0.00
Credit Card
*
Card Details
Cardholder Name
Country
*
Phone
*
Email
*
Additional Information
WAIVER: 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 follow the instructions on the confirmation page.
Make a payment
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