Loudoun Ballet Company - Nutcracker Request for Absence

Maureen Miller - Artistic Director

LBC Sleeping Beauty
Request for Absence from Rehearsal

• This form should be completed as far in advance as possible and is to be submitted by a parent of the performer.

• Please remember that excessive or unnecessary absences will effect your casting and future participation with the Loudoun Ballet Company.

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All form fields are required.

*Performer Name:

*Parent Name:

*Parent E-mail:

*Parent Phone:

*Performance Name:

*Scheduled Role:

*Rehearsal Date:

*Rehearsal Time:

Reason Details:

*Security Code:

Productions of the Loudoun Ballet Company are partially supported by a grant from
the Virginia Commission for the Arts and the National Endowment for the Arts.