Registration

Come join us for Summer Intensives Week 2 for our rising 9th- 12th grade dancers. This camp will be held June 12th- 15th from 4:30- 9:30 This will include ballet, tap, jazz, hip-hop, improv, and movement. The instructors will be: Nealey, Amanda, Kim, Tara, Lisa, Cindy, and Rae.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Relationship to Student*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Does your dancer want to be evaluated for Jazz Company?*
Does your dancer want to be evaluated for Tap Company?*
Does your dancer want to be evaluated for Hip-Hop Company? *
 
Additional Information:
 
Assumption of Risk/Student Liability Release
  (Show-Hide Details)
I've read the above and agree.
 
Payment Policy
  (Show-Hide Details)
I've read the above and agree.
 
Social Media/Video/Photography Release
  (Show-Hide Details)
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number:  
Name as it appears on card:
Nickname:
Card Expiration Month:   Exp Year:
Address Line 1: Address Line 2:
City: State: Zip:
 
 
eCheck/Bank Draft:
Bank Name:
Bank Routing Number: (9-digit number)
Your Account Name: (Your name on your bank statement)
Your Account Type:   Account Number: