Ballet in the Park Auditions 2023

Dancer Name*
Dancer First Name Dancer Last Name
Dancer Birth Date*
Auditions are limited to dancers entering 7th grade in the Fall of 2023 and older.
Month
Day
Year
Dancer's age as of the audition date*
Dancer Gender Identity*
- Female
- Male
- Non-binary
Dancer Address*
Street Address City State ZIP / Postal Code
Primary Phone Number*
Primary Email*
Confirmation receipt will be emailed to the email address entered here.
Enter Email Confirm Email
Select Your Audition Date & Time*
- 7th, 8th, and 9th graders- April 15, 2023, 2:30 pm -4:00 pm
- 10th graders through Adults- April 15, 2023, 4:15 pm -5:45 pm
- Adult Character Role
- Video submission

Previous Roles With Ballet Wichita*
Select all that apply.
Nutcracker roles are listed in the order they appear in the production. Pay particular attention to the year when making your selection.
Which Days/Times Are You Available For Rehearsal?*
Rehearsals will fall within these days and times. Please let us know which days and times you are available. Select all that apply. No one will be asked to rehearse every day, all of the time.
- Select All
- Monday, 7:30pm - 9:30pm
- Tuesday, 7:30pm - 9:30pm
- Wednesday, 7:30pm - 9:30pm
- Thursday, 7:30pm - 9:30pm
- Friday, 7:30pm - 9:30pm
- Saturday, 2:00pm - 4:00pm
- Saturday, 4:00pm - 6:00pm
- Sunday, 1:00pm - 4:00pm
Are You Able To Attend Some But Not All Of A Rehearsal?
If there is a rehearsal time listed above that you cannot attend for the full allotted time but could attend for a portion of the time, please identify below and let us know what portions you could attend.

Are you 18 or older?*
All minors are required to enter parent/guardian information.
- Yes
- No
Parent or Guardian Name
Parent or guardian contact information (of at least one parent) is required for dancers under 18 years old.
Parent/Guardian First Name Parent/Guardian Last Name
Parent / Guardian Phone Number
Parent / Guardian Email Address
Do You Want to Receive Cast Emails at the Above Address?
- Yes
- No
Additional Parent or Guardian Name
First Name Last Name
Additional Parent / Guardian Phone Number
Additional Parent / Guardian Email Address
Do You Want to Receive Cast Emails at the Above Address?
- Yes
- No

Is Dancer Covered by Health Insurance?*
If the Dancer IS covered by Health Insurance and this section is NOT completed during online registration, the dancer will encounter a delay during audition check-in.
- Yes
- No
Insurance Company Name
Fill in the Insurance Company Name if the Dancer is Covered by Health Insurance.
Identification Number
Fill in the Insurance Identification Number if the Dancer is Covered by Health Insurance, if applicable to dancers policy.
Policy Number
Fill in the Insurance Policy Number if the Dancer is Covered by Health Insurance, if applicable to dancers policy.
Medical Conditions and/or Allergies
List ALL Medical Conditions and/or Allergies or type "None".
Medications
List ALL Medications or type "None".
I Agree to allow Ballet Wichita to administer any medication(s) listed above, if deemed necessary.*
- Yes
- No
- Not Applicable
Hospital Preference
Primary Care Physician Name
Physician First Name Physician Last Name
Primary Care Physician Phone Number

1600 W Douglas Ave Wichita, KS 67203