Form - Registration for all Workshops

I am registering for the following workshops*

Choose your classes*

Ballet Master Class only
Ballet, Pointe & Repertoire

Choose your classes*

Ballet
Pointe
Repertoire
Hip Hop

I am auditioning for a CBJ Summer program or George Brown Dance*

Yes
No

Which program are you auditioning for?

CBJ Junior Company
CBJ Summer IV
George Brown Dance P101
George Brown Dance P105
George Brown Dance P106

Select all that apply. Please ensure that you are registered for all the required classes for your auditioning program.

ABOUT THE STUDENT

Student Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone Number*

Mobile Number

Parent/Student Email [primary contact]*

Enter Email Confirm Email

Student Email Address [optional]

Enter Email Confirm Email

Gender*

Female
Male
Other

Date of Birth*

MM

DD

YYYY

Your Age Today*

Your Height (inches):*

ABOUT MY TRAINING

Current or most recent dance school name:*

Dance School Contact Name

Dance School City and Province*

City State / Province / Region

If Professional

Current or most recent dance employer

ABOUT MY PARENTS/GUARDIAN

Name*

First Last

Parent/Guardian Email Address*

Parent/Guardian Telephone Number (1)*

Parent/Guardian Telephone Number (2)

Parent/Guardian Contact Information*

Contact Information Same As Student