Jewels Festival Solo Registration Form

Catskills Ballet Camp (CBC) Registration Form

Intensive Ballet Program (overnight camp)
Student Full Name

First NameLast Name
Student Date of Birth

MonthDayYear
Date
Contact Number
Please enter a valid phone number.
Email Address
example@example.com
Student Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian's Name

First NameLast Name
Relationship to Participant
Guardian's Contact Number
Please enter a valid phone number.
Guardian's Email Address
example@example.com
Dance School Name
By submitting this form, I acknowledge that:

The information provided is accurate and complete.
I agree to abide by the rules and regulations of the dance competition.
I understand that any misrepresentation of information may result in disqualification.
Participant's Signature

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Date

MonthDayYear
Date
Name

First NameLast Name
Weeks to attend:

1 weekExtra days
Specified days you attend:
Signature

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Should be Empty:

Catskills Ballet Camp (CBC) Registration Form