Parent's Information

Parent's First Name*

Parent's Last Name*

Parent's Email*

Parent's Mobile Phone*

Dancer's Information

Dancer's First Name*

Dancer's Last Name*

Dancer's Date of Birth*

MM/DD/YY

Dancer's Grade

Dancer's School

Dancer's Address*

Address Line 2

City*

Zip Code*

Dancer's Home Phone (If applicable)

Dancer's Mobile Phone (if applicable)

How did you hear about Push Dance Company?*

Please write a brief summary of your dance training thus far:*

Have you been on a competitive team before?

Yes

What do you feel are your strengths AND weaknesses as a dancer?

What is/are your favorite genre(s)?

Please provide details on any other skills or interests you may have within or peripheral to the dance world/industry?

Do you currently have a serious injury or have you had an injury in the past that we should be aware of?*

Yes

If yes, please explain:

Desired Outcome

Why are you auditioning? What are your goals as a dancer? (You may choose more than one.)*

To make my high school drill team

To be the best dancer I can be and compete and perform with a team

Pursue a career as a professional dancer/ choreographer

Other

Please elaborate on your personal dance goals?

Is there a particular specialty placement for which you would like to be considered?

Scheduling Conflicts

Are there specific days of the week and/or times of day that would conflict with Push related class/activities/events?

What is the earliest time you can arrive at Balance on school days?

Are you involved in any other school or extracurricular activities or currently employed?*

Yes

Would participation in these activities interfere with Push Dance Company. If yes, please speak with a director about potential conflicts before committing to Push Dance Company.*

Yes

If yes, please explain:

Please provide any date conflicts you may have between now and May 31st 2020: (type "None" if you do not have any conflicts):

List dates here:*

Please explain any potential circumstances that may hinder your ability to adhere to company commitments including financial/logistical variables.)

How many TOTAL dances do you wish to be considered for (required jazz and contemporary piece per team requirements)*

2 Total Dances (I do not sure to be considered for any additional dances beyond the 2 required team dances)3 Total Dances (I would like to be considered for 1 additional dance in addition to the 2 required team dances)4 Total Dances (I would like to be considered for 2 additional dance in addition to the 2 required team dances)5 Total Dances (I would like to be considered for 3 additional dance in addition to the 2 required team dances)6 Total Dances (I would like to be considered for 4 additional dance in addition to the 2 required team dances)7 Total Dances (I would like to be considered for 5 additional dance in addition to the 2 required team dances)8 Total Dances (I would like to be considered for 6 additional dance in addition to the 2 required team dances)9 Total Dances (I would like to be considered for 7 additional dance in addition to the 2 required team dances)

Are you interested in doing community performances, such as dance project, city dance festivals, etc. ?*

Yes

Are you wanting/able to do weekend rehearsals and if so, is does Friday or Saturday work better?*

I do NOT want to/NOT able to do weekend rehearsals

I prefer Friday rehearsals

I prefer Saturday rehearsals

I can do Friday or Saturday rehearsals

Are you auditioning for more than one Balance company?

YesNo

Please upload dancer's headshot.