Broadway Showcase 2021 Checkout - Broadway Method Academy

Broadway Showcase | July 5 - 23, 2021 | M-F 2:00 - 6:00 pm*
Student Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
House Phone*
Age*
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
- Female
- Male
- Non-Binary
- I'd rather not say
Student Cell*
Student Email*
Parent Name*
First Last
Parent Cell*
Parent Email*
Emergency Contact*
Name & Number
Upload Your Audition Video Here (32 bar cut & optional dance video)*
Drop files here or
Please upload a Youtube link to your audition video.
I agree to pay the $56 application fee, which is non-refundable.
- Yes, I agree!
Please Note: If accepted into the program, the application fee will be credited towards the full tuition.
I agree to pay the full tuition, if accepted.*
- Yes
I understand that if accepted, I will pay the full tuition of $1,567.50 less the application fee.
Credit Card*
American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$0.00
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OUR MISSION