The Ajkun Ballet Theatre
AUDITION REGISTRATION FORM
ALL INFORMATION MUST BE PRINTED OR CLEARLY HANDWRITTEN
REGISTRANT NAME: NUMBER:
LAST, FIRST OFFICE USE
EMAIL: TELEPHONE:
NOTE THAT MOST COMMUNICATION WILL BE VIA EMAIL
POSTAL ADDRESS:
CIVIC NUMBER, STREET, CITY, STATE, ZIP CODE, COUNTRY - IN EXACT ORDER
HEIGHT: WEIGHT: AGE: D.O.B. NATIONALITY:
DANCER AVAILABLE FROM:
MM/DD/YYYY
I WISH TO AUDITION FOR (check all applicable):
O The AjkunBT Company
O The AjkunBT International Trainee Program
SPECIFY IF FULL TIME OR JULY/AUGUST PROGRAM
O The AjkunBT Scholarship Fund (requests received after December 20th are considered for 2008)
GRANTS APPLICANTS MUST INCLUDE A LETTER SUPPORTING THEIR REQUEST AND FINANCIAL NEED EVIDENCE, IF APPLICABLE
I HAVE ENCLOSED (check all applicable):
O CV/RESUME O HEADSHOT O DANCE PHOTO/S O PRESENTATION LETTER
O I AM REQUESTING TO AUDITION IN PERSON AT:
LOCATION: DATE:
O I AM REQUESTING TO AUDITION BY VIDEO/DVD
(VIDEO/DVD IN AMERICAN SYSTEM IS ENCLOSED) AUDITION MATERIAL WILL NOT BE RETURNED
WAIVER:
Recognizing the possibility of physical injury associated with ballet and other forms of dance, and in consideration for The Ajkun Ballet Theatre accepting the participant for its Open Audition, I hereby release, discharge and forever hold The Ajkun Ballet Theatre, its affiliated organizations, sponsors, their associated personnel, including the owners and managers of the theaters and facilities utilized for the event, against any claim by or on behalf of the audition's participant that may arise from the registrant. I further agree that I will not hold The Ajkun Ballet Theatre or any of its agents responsible for any article lost or stolen whilst I am participating in the event. I understand and agree that material provided for evaluation will not be returned and such material will become property of The Ajkun Ballet Theatre and may be used for promotion now or in the future of similar events, for which no compensation shall be provided. I, the parent/guardian of the registrant (if minor) agree on all the above and -therefore- release, discharge and forever hold harmless The Ajkun Ballet Theatre and all affiliated organizations, the associated personnel, including the owners of the theaters and facilities utilized for the program against any claims by or on behalf of the registrant that may arise during or afterward the participation. I have read, understand and agree to the above policy statements, waivers and consents.
______________________________ ______________________________
SIGNATURE OF AUDITIONEE (IF APPLICABLE) PARENT/GUARDIAN