Inlet Dance Theatre Audition Application Name _______________________________________________ Date_________________ Address_________________________________________________________________________ City__________________________________ State ______ Country*______Zip___________________ *non US citizens must provide proof of proper visas Phone #________________Cell #____________________Email________________________________ Age______ Date of Birth_____________________ Male or Female_______ High School graduated___________________________________________________ Date __________ Other Education____________________________________________________________________ Cleveland Address _______________________________________City_________ Zip_______________ How did you hear about Inlet Dance Theatre? __Poster __Internet __Mailing __Friend __School __ Facebook __Other________________________ Dance ExperiencePlease attach your Resume, a Head-shot and Full-Body photo to your application. Please also include links to any videos available of you dancing. If it's a group piece, please specify which dancer you are and when you appear in the video. REFERENCES: Please provide 3 references: Instructor in dance or theater: Name_____________________ Phone #____________________Email___________________________ Teacher/pastor/mentor: Name_____________________ Phone #____________________Email___________________________ Employer: Name_____________________ Phone #____________________Email___________________________ I WILL BE ATTENDING: select all that apply ___Spring Audition March 8-10, 2017 ___ Optional - March 9th Outflow Programming at Fairfax Elementary school (3:20-4:20pm) ___ Optional - March 9th Inflow Classes at The Music Settlement (5:30-8:30pm) ___Optional - March 10th Company class participation and rehearsal observation ___Summer Audition June 14-16, 2017 ___Optional - June 16th Summer Dance Intensive classes, rehearsals and Inlet performance Upon receipt of your completed application you will be provided with video links of reparatory you are responsible for learning prior to the audition. Inlet Dance Theatre c/o The Music Settlement 11125 Magnolia Dr, Cleveland, OH 44106 www.inletdance.org 216.721.8580 Inlet Dance Theatre Audition Application Please answer the following questions: MANDATORY QUESTION: Why do you desire to be a part of the Inlet Dance Theatre? Pick 2-3 of the following questions to answer: 1. What are your three favorite hobbies other than dancing AND WHY? 2. What is your alter ego career? (For example, "If I wasn't a dancer, I'd be a news reporter.") 3. Describe your favorite meal and why it brings you joy. 4. "You're a new addition to the crayon box, what color would you be and why?" 5. If you were 80 years old, what would others say about you and your character? Inlet Dance Theatre c/o The Music Settlement 11125 Magnolia Dr, Cleveland, OH 44106 www.inletdance.org 216.721.8580 Inlet Dance Theatre c/o The Music Settlement 11125 Magnolia Dr, Cleveland, OH 44106 www.inletdance.org 216.721.8580 Inlet Dance Theatre Audition Application Waiver of Liability and Image Release This information is mandatory; I hereby release and hold Inlet Dance Theatre, the Idea Center, PlayhouseSquare, Dancing Wheels, Professional Flair, the Masonic Auditorium, The Music Settlement, any offsite location, their agents, board of Directors and staff harmless from any and all liabilities while participating in the Inlet Dance Theatre Audition. I understand that this registration information will be kept on file in Inlet’s Database and photos of me may be used for publicity. If I am unable to attend for any reason, I will contact Inlet PRIOR to the first day of the audition I am registered for. Applicant Signature_________________________________________ Date____________ Medical History and Emergency Medical Information Participant’s Doctor _____________________________________ Doctor Phone # _____________________ Please list ALL Current and Past Medical Conditions and/or Injuries, including any previous or existing disabilities, ailments, injuries, etc. that instructors should know about. __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ Medical Insurance ___________________________________Policy #______________________________ Medications (Please List any medications and the reason for taking them) Emergency Contact Name________________________________ Phone #________________ Relationship______________________ I hereby state that the above information is complete and true. I hereby give my permission for me to be transported to a medical facility in case of an emergency. Applicant Signature____________________________________________Date__________________ Inlet Dance Theatre c/o The Music Settlement 11125 Magnolia Dr, Cleveland, OH 44106 www.inletdance.org 216.721.8580
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