Please note that ALL SECTIONS of the audition form must be completed.

SECTION ONE - SCHOOL INFO AND MEASUREMENTS

Dancer Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Academic School

Grade

Leotard Size

Tights Size

Ballet Shoe Size and Type

T-Shirt Size

SECTION TWO: CONTACT INFORMATION AND DANCE HISTORY

Dancer Name

First Name

Last Name

Dancer Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Dancer Home Phone

(###)

###

####

Dancer Cell Phone

(###)

###

####

Dancer Email

Parent/Guardian 1 Name

First Name

Last Name

Parent/Guardian 1 Home Phone

(###)

###

####

Parent/Guardian 1 Cell Phone

(###)

###

####

Parent/Guardian 1 Email

Parent/Guardian 1 Employer

Many employers will match volunteer hours with donations.

Parent/Guardian 2 Name

First Name

Last Name

Parent/Guardian 2 Home Phone

(###)

###

####

Parent/Guardian 2 Cell Phone

(###)

###

####

Parent/Guardian 2 Email

Parent/Guardian 2 Employer

Many employers will match volunteer hours with donations.

Emergency Contact Name

First Name

Last Name

Emergency Contact Home Phone

(###)

###

####

Emergency Contact Cell Phone

(###)

###

####

Emergency Contact Email

Local Newspaper

Current Dance School

Ballet Experience

Years Danced

Modern

Years danced

Pre-Pointe/Pointe

Years danced

Partnering

Years danced

Other dance styles

Years danced

SECTION THREE: AVAILABILITY/MEDICAL

Dancer Name

First Name

Last Name

Conflicts

Describe any schedule conflicts you have. Please note that staff may ask you to reconsider your participation if multiple weeks are to be missed. Any more than 3 conflicts may affect casting decisions and the dancer's roles- see Attendance Policy; all conflicts are due by 7:00 pm Sunday, January 15 to be considered. Note: Conflicts not known at the time of registration but prior to the deadline can be submitted to info@coyb.org

Medical/Surgical History

Please list any pertinent medical (medications i.e. inhalers, EpiPen, insulin, etc.; allergies)/surgical history that may impact your dancer's physical being, movement and emotional presence during rehearsals

2023 fee options are below.

Please select one.

Pay Fee in full by March 1.

I would like to make payments.

This is a hardship for my family; I will request financial assistance.

You will receive an email confirmation to the Parent/Guardian 1 email address within 48 hours of submission. Payments may be made online or in person. Please give us a call at 740-366-0030 or email info@coyb.org with any questions.

Audition Registration Spring Performance 2023

Please note that ALL SECTIONS of the audition form must be completed.