Name *

First Name

Last Name

Date of Birth *

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DD

YYYY

Phone *

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Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

(###)

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I authorize Vox Artium to edit copy exhibit distribute and use any video or images taken of me during both the Vox Summer Ensemble and the Vox Summer Program *

I agree

I understand to complete my audition I must film and upload a 100 - 200 minute self choreographed routine to show your dance and equipment skills The routine must be uploaded to YouTube under an unlisted link, please title the video YOUR NAME - 2025 Vox Summer Audition and email the link to voxartiumwg@gmail.com by Wednesday, June 4, 2025 *

I agree

I understand that if accepted into the Vox Summer Ensemble a membership fee of $280 must be paid at our first rehearsal on Saturday, June 21. *

I agree