Students First Name *

Students Last Name *

Students Date of birth *

Parents Full Name *

Parents Phone *

Parents Email *

Does the student have any previous experience in dance, acting, or singing?

Dance

Acting

Singing

No previous experience

What does the student enjoy most about performing?

Any medical conditions or additional needs we should be aware of?

Photography/Video Permission

I give permission for my child to be photographed/filmed during the audition for marketing and promotional purposes

I DO NOT give permission for my child to be photographed/filmed during the audition for marketing and promotional purposes

How did you hear about Mellor Performing Arts School?

Facebook

Instagram

Friend/Family

Other...