Registration

2024 Summer Intensive Video Audition

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)

Students entered below will be added to your family's account

Add New Student #1:

(Show-Hide Details)

	Student's First Name: *	Last Name: *
	Birth Date: *	(format=mm/dd/yyyy)
	Student Email:
	Grade at your regular school:	Grade Level:
	Allergies (Leave blank if NONE):*
	Medications (Leave blank if NONE):
	Primary Doctor:

Questions/Options:


I am interested in attending Week One of the intensive (July 8-July 12)*
I am interested in attending Week Two of the intensive (July 15-July 19)*
I am interested in attending Week Three of the intensive (July 22-July 26)*
I am interested in attending Week Four of the intensive (July 29-August 2)*
What academic school is your child currently attending?*
What dance studio is your student currently dancing at?*
Is your student on pointe?*
If yes, please give the month and year they began their pointe training.
Does your student have any allergies or physical limitations that LABA should be aware of?*

Additional Information: