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The Summer Intensive Program gives dancers a strong multidisciplinary training as well as enhances artistry and versatility. Students will take a deep dive into various techniques including ballet, modern, contemporary, partnering, improvisation and Tampa City Ballet repertory. The program also allows students to work with national and international faculty and choreographers.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
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Family Information
First Name:
*
Last Name:
*
Type
*
Caregiver
Father
Guardian
Mother
Parent
Self
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
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OH
OK
OR
PA
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SC
SD
TN
TX
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VA
VT
WA
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Zip:
*
Emergency Contact Info (Not Contact #1 or #2)
*
Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities - If NONE put N/A:
*
Allergies - If NONE put N/A:
*
Medications - If NONE put N/A:
*
Primary Doctor:
*
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities - If NONE put N/A:
*
Allergies - If NONE put N/A:
*
Medications - If NONE put N/A:
*
Primary Doctor:
*
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities - If NONE put N/A:
*
Allergies - If NONE put N/A:
*
Medications - If NONE put N/A:
*
Primary Doctor:
*
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities - If NONE put N/A:
*
Allergies - If NONE put N/A:
*
Medications - If NONE put N/A:
*
Primary Doctor:
*
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Disabilities - If NONE put N/A:
*
Allergies - If NONE put N/A:
*
Medications - If NONE put N/A:
*
Primary Doctor:
*
Additional Information:
Other Questions/Comments:
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eCheck/Bank Draft:
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Bank Routing Number:
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Your Account Name:
(Your name on your bank statement)
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