Audition Form - Corpus Christi Ballet

Cast Audition Form
For office use only
For
Height: _________
Audition Number
Weight: _________
Clothing Size: ____
Dancer's Name (as it should be listed in the program): ______________________________ Age: ____
Address: ______________________________City: ______________________ Zip Code: __________
Home Phone: _______________________ Dancer’s Cell Phone: ______________________________
Preferred email (primary method for notifications): __________________________________________
Mother’s Name: ______________________________
Cell Phone: __________________________
Father's Name: _______________________________
Cell phone: __________________________
Academic School _____________________________
Grade: ______________________________
Dance School: _______________________________
Level: _______________________________
Yrs. Ballet: ________ Yrs. Pointe: _________
Class Days/Times: ___________________________
Have you been cast in CCB productions in the past? If so, list names and roles:
_____________________________________________________________________________________
_____________________________________________________________________________________
Please Read Carefully - This Agreement Affects Important Legal Rights
Authorization: I agree to allow myself (or my child) to participate in Corpus Christi Ballet (CCB) productions. I
understand that I (my child) will not be paid for participation and will be required to abide by all CCB policies. I
understand that CCB is not responsible for any personal items that may be lost, left or stolen. By signing below, I
indicate that I (my child) am in proper physical condition and health to participate.
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(Please read and sign back of page)
Media Consent: I hereby understand and agree that I (my child) may be photographed, videotaped, and/or,
interviewed by CCB, television, newspaper, or other media and consent to the publication of any such media in
advertising and promotional materials including, the internet (social media websites). I agree to hold CCB and all
others who take media with consent of CCB, free and harmless from any liability arising from the taking or
publication of the media. I understand that any photographs, videotapes, or recordings by/for the CCB shall remain
the property of the CCB. I also agree not to publish on any website or otherwise any form of media any rehearsal,
performance or promotional event without the prior consent of the CCB.
Release from Liability: I UNDERSTAND THAT ACCIDENTS AND INJURIES OCCASIONALLY
OCCUR DURING REHEARSALS, PERFORMANCES, PUBLICITY EVENTS OR ANYTIME
DANCE ACTIVITIES OCCUR AND THAT SERIOUS PERSONAL INJURY AND PROPERTY
DAMAGE MAY OCCUR AS A CONSEQUENCE.
KNOWING THE RISKS AND
CONSEQUENCES OF MY (MY CHILD’S) PARTICIPATION, I AGREE TO ASSUME THOSE RISKS AND HOLD HARMLESS AND RELEASE CCB, MUNRO BALLET STUDIOS,
AMERICAN BANK CENTER AND ANY OF ITS REPRESENTATIVES, DIRECTORS,
OFFICERS, VOLUNTEERS, AGENTS AND EMPLOYEES FROM ANY LIABILITY FOR ANY
AND ALL INJURIES AND DAMAGES OF ANY KIND THAT I (MY CHILD) MAY SUFFER
WHILE PARTICIPATING IN CCB ACTIVITIES. FURTHERMORE, I AGREE TO
INDEMNIFY AND FOREVER HOLD HARMLESS CCB, MUNRO BALLET STUDIOS,
AMERICAN BANK CENTER AND THEIR REPRESENTATIVES, DIRECTORS, OFFICERS,
VOLUNTEERS, AGENTS, AND EMPLOYEES AGAINST LOSS FROM ANY AND ALL
CLAIMS, DEMANDS OR ACTIONS THAT MAY HEREAFTER BE MADE OR BROUGHT BY
ME (MY CHILD) OR ANYONE ON MY (MY CHILD) BEHALF.
Sexual Harassment Policy: CCB is committed to providing a safe environment free from discrimination and to
prohibit harassment of its dancers, employees, contractors, volunteers and applicants, including sexual harassment.
Sexual harassment is defined as any unwelcome or unwanted sexual advance request for sexual favors or other
verbal or physical conduct of a sexual nature from someone in the workplace that creates discomfort and/or
interferes with the job or participation in CCB productions. Conduct constitutes harassment when:
Submission to such conduct is made, either explicitly or implicitly, a term or condition of an individual’s employment or participation;
Submission to or rejection of such conduct by an individual is used as the basis for employment or
participation decisions and/or retaliations; and/or
Such conduct has the purpose or effect of interfering with an individual’s performance or creating an intimidating hostile or offensive environment
Harassment due to race, religion sex, national original, military or veteran status also will not be tolerated. Such
conduct is subject to disciplinary action, including termination of dancing privileges at CCB.
Anyone who believes he or she is a victim of harassment at CCB should immediately report the incident to an
Artistic Director or CCB Board Member. CCB will not tolerate retaliation against any person who complains of
harassment or provides information in connection with any such complaint.
__________________________________
Dancer’s signature
____________________________
Date
__________________________________
Signature of Parent or Guardian (if minor)
_____________________________
Printed Name of Parent or Guardian
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