D a n c e D r e a m w o r k s I n c .

Fields not marked with a (*) are required.

First and Last name

*Age

E-Mail

Phone # (to call you in case of last minute cancellation or information)

Town of Residence

I plan on attending:

May 16 ballet class
May 23 ballet class
May 30 ballet class
June 6 ballet class
OR: All 4 classes

*I am also interested in:

Ballet
Tap
Hip-hop
Jazz
Lyrical/Contemporary
Creative movement (ages 3-5)
Vocal lessons

*Please fill in when you would like to take classes.

Mondays

Not available
AM
PM
Anytime

Tuesdays

Not available
AM
PM
Anytime

Wednesdays

Not available
AM
PM
Anytime

Thursdays

Not available
AM
PM
Anytime

Fridays

Not available
AM
PM
Anytime

Saturdays

Not available
AM
Afternoon
Anytime

Health Information (List allergies or phyical limitations):

Prior performing arts experience:

How did you discover us?

Through Open Space Studio
Google search
Through a friend
Other

If you selected other, please specify:

What are you hoping to get out of this class?

Dancer's full name:

Age group

9-10
11-12
13-14
15-16
17-18 (high school junior now)

Mailing address

City

State

MA
CT
ME
NH
NY

Zip code

Dancer E-mail (if applicable)

Dancer cell # (if applicable)

Parent name (if under 16)

Parent e-mail

Emergency contact

Emergency #

List performing arts experience here:

Why do you want to join our company? (OR Parents: why do you want your child to join our company?)

Dance strength (check all that apply)

Ballet
Tap
Jazz
Hip-hop
Modern/contemporary

Would you like to audition for a solo or duo?

Solo
Duo
No

Please print this page for your records and bring a copy to the audition on June 30th. Bring a headshot (closeup photo) of the dancer, or you may opt to get one taken there for $5.