Northern Plains Dance Experience 2018

Student Name*

First NameLast Name

Thank you for your interest in Northern Plains Dance's Summer Dance Intensive (SDI) 2024.

Please register only one student per form.

Dancers are strongly encouraged to regsiter for the full 2-week session however there is an option to take drop-in classes for $20 per hour. The Drop-in schedule and registeration will be sent at a later date, but if you plan on attending drop-in classes, you must pre-register via this form.

Performance Opportunites:

New in 2024, a focused choreography week giving dancers a fantastic opportunity to work with some of our guest faculty as they choreograph for Rooftop and Dance+ during the intensive. Rehearsals for those cast will be held in the second week during the day. If you choose to audition for the Guest Choreographers and are cast, you are committing to participating in both performances (Rooftop August 15 and Dance+ date TBD) unless you are a graduating senior and are responsible for any Performance and Volunteer Fees assessed for those performances.

*Dancers who become part of the Student Company for the 2024-25 year will receive a credit towards their company dues for participating with Guest Choreographers.

Summer Dance Intensive

Ages 12+

Full Program

July 29-August 9

| 10 Days | 10:30am-5:00pm |

$720

*10% off if paid in full by June 1

Payments are non-refundable.

Birthdate*

MonthDayYear

Age*

Academic Grade (Fall of 2024)*

Student Phone

Area CodePhone Number

Student Email

example@example.com

Years of dance experience*

Are you currently a student at Northern Plains Dance?*

YesNo

Average number of days per week you currently dance

Average number of hours per day you currently dance

Please specify the styles of dance you currently take

Parent/Guardian Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Parent Phone*

Area CodePhone Number

Parent Email*

example@example.com

Do you plan to take advantage of Early Bird Pricing and pay in full with this form?*

YesNo

Do you plan to register a sibling to the student above?*

YesNo

Please contact NPD at 701-530-0986 or dance@northernplainsdance.org BEFORE registering a sibling in order to take advantage of the 10% sibling discount.

Do you plan to submit a Scholarship Application by May 15?*

YesNo

By selecting yes, I confirm that I understand there are fees associated with working with a Guest Choreographer and I will fulfill my financial obligation.By selecting yes, I confirm that I will participate in Rooftop on August 15.By selecting yes, I confirm that I will attend auditions for and fully participate in Dance+ in the upcoming season.

Select payment options below. You may choose to pay in full or in two (2) payments.

Early Bird Pricing: Register before June 1 for both weeks (full program) and pay in full to receive a 10% discount.

Select your options below*

Summer Dance Intensive | Two Weeks | Ages 12+$720.00

July 29- August 9 | 10:30am-5:00pm

Summer Dance Intensive | Two Weeks | Payment Plan Option$240.00

Partial Payment of Full Summer Dance Intensive. Payment 2 will be billed on June 15 and Payment 3 will be billed on July 15. All invoices must be paid prior to July 29.

Summer Dance Intensive | Technique Week | Ages 12+$345.00

July 29- August 2 | 10:30am-5:00pm

Summer Dance Intensive | Choreography Week | Ages 12+$375.00

August 5-9 | 10:30am-5:00pm

Drop-In Classes$20.00

Pre-pay for your first drop-in class to receive the full schedule in mid-July. Drop-ins are only permitted during Technique Week and for the warm-up classes during Choreography Week. Dancers must attend a Ballet class prior to participating in any class requiring pointe work.

SDI T-Shirt$23.00

Enter coupon

Total $0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

LIABILITY RELEASE: I hereby release Northern Plains Dance or Ballet (NPD) and its agents and employees from all liability for personal injury, illness or property damage occurring on or off premises used, rented, leased, or owned by NPD. I certify that I am in good health and capable of participation in all activities and classes.

MEDICAL RELEASE: In an emergency, I authorize NPD, its employees and agents, in the event that I cannot be reached by telephone at the number(s) listed above, to transport and admit my child or myself to a local hospital for the purpose of emergency medical treatment. I release NPD, its employees and agents, from any liability incurred for the transportation and admission of myself or my child to a local hospital for emergency treatment.

PHOTOGRAPHY RELEASE: I hereby give permission to NPD to take photographs and/or videos of me or my child that will become permanently property of NPD. I consent to the use of such materials for promotional purposes by NPD.

Signature*