SDI Audition Registration Festival Ballet Providence Summer Dance Intensive Audition Application 2017 Please indicate which program you are auditioning for: Program 1 - Senior Intensive (July 3 - July 29, 2017)Program 1 - Trainee (July 3 - July 29, 2017)Program 2 - Junior (July 31 - August 11, 2017) Choose Audition Location and Date: Hartt School, The University of Hartford Apr 9Massachusetts Academy of Ballet Apr 15Festival Ballet Providence Apr 23Video Audition - Audition Fee $35 Personal Information Applicant's Full Name: (required) Mailing Address: (required) Street address: City/Town: State: Zip/Postal Code: Home Phone: (required) Cell Phone: (required) Primary Email (required) Date of Birth: Age: Sex: FemaleMale Height: Weight: Guardian 1: Guardian 1 Cell Phone: Guardian 1 E-mail: Guardian 2: Guardian 2 Cell Phone: Guardian 2 E-mail: Medical Information Have you been under the care of a doctor or physical therapist in the last 6 months? YesNo Please list any medical conditions or injuries: Are you currently taking any medications? YesNo If yes, please list any medications taken: List any allergies: Training Information Number of years on pointe (if applicable): Consecutive years of dance training: Number of classes per week: Ballet: Partnering: Jazz: Modern: Other: Have you previously studied at Festival Ballet Providence? YesNo List all training include Festival Ballet Providence, and any summer programs: School/Teacher: School Location: From /To (years): Number of classes per week: School/Teacher: School Location: From /To (years): Number of classes per week: School/Teacher: School Location: From /To (years): Number of classes per week: How did you hear about us? Upon clicking submit you will be redirected to PayPal where you will be asked to pay your pre-registration fee of $15. Registration is not complete until payment is received.