Summer Dance 2026 June 1-26 Enrollment

Summer Dance 2026 June 1-26 Enrollment

Please complete this form to enroll in the 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*

I understand
Should be Empty: