COPPELIA AUDITION REGISTRATION

Student

Date of Birth

Age

Phone Number

Parent/Guardian

Thank you for registering for South Jersey Ballet Theatre's Open Auditions for "Coppelia." Auditions are on January 12th at South Jersey Ballet School (415 Commerce Lane Units 6 & 7 in West Berlin, NJ). Please email sjballet@gmail.com with any questions. We look forward to seeing you at auditions!

Secondary Email

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Current Instruction (Dance School)

Length of time at current dance school

Audition Group

Ages 4-6 (12:45-1:30)

Ages 7-10 (1:00-2:30)

Ages 11 & Up (2:00-4:00)

Company/Trainees (approval required)

If yes, please list medical and/or physical condition(s):

By checking this box, you agree to the terms and conditions. Audition Fee is $25 for ages 4-10 and $30 for ages 11 & up.

Select an item ($)

Student Age 4-10 - $25

Student Age 11 & Up - $30