Summer Dance'26 Jun 1-26

Summer Dance'26 Jun 1-26

Please complete this form to enroll in our ballet summer program. Beginner M-W-F, 10-11a ~ Intermediate M-F, 11a-2:00 p ~ Advanced M-F, 11a-2:00 p. All information will be kept confidential.
Participant's Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Parent or Guardian Full Name

First NameLast Name
Parent or Guardian Email Address
example@example.com
Parent or Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Previous Dance Experience (if any)
Please list any injuries, allergies or medical conditions
I understand that I will have to pay $$ upon arrival
Should be Empty: