Youth Dance Ensemble Audition Information Form Question Title * 1. Please provide the following information about the dancer who is auditioning. Name Date of Birth Grade in next school year Dancer's email address Cell phone, if applicable Question Title * 2. Please provide the following information about the dancer's parents/guardians, separated by commas. Parent/Guardian name(s) Parent/Guardian phone number(s) Home address Parent/Guardian email address(es) Question Title * 3. PREVIOUS DANCE EDUCATION: Please list places of study, dates, instructors and types of dance studied. Question Title * 4. Why would you like to participate in the Youth Dance Ensemble program? Question Title * 5. OTHER INFORMATION: Please list any other pertinent information we may need to know, such as health or physical concerns, injuries, transportation/scheduling issues, learning issues (dyslexia, A.D.D. medications, etc.). Thank you. We look forward to seeing you on May 7th! Done