Registration
Join Encounter Performing Arts Company this summer for their annual month-long summer dance intensive for an unforgettable and life-changing experience! Receive intense, high quality training in a healthy, professional, and Christ-focused environment. Please fill out a separate enrollment form for each additional dancer. Before completing the registration form below, please read the Encounter Intensive Handbook: Intensive Handbook
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Dancers Name*
Age*
Birthdate *
Student Phone Number *
How many years of dance training? *
How many years on pointe?*
Current dance schedule with hours?*
Name of current studio attending?*
Any injuries or health concerns that may prohibit you from dancing to the fullest?*
Will you need a host home? *
Any allergies (Animals, food, etc)?*
Will the dancer have a vehicle while here? *
T-shirt Size: *
Church name and denomination:*
How did you hear about Encounter Performing Arts Company?*
Personal Testimony - describe your relationship with the Lord and how Jesus Christ became your personal Lord and Savior.*
Why do you want to attend the EncounterPAC summer dance intensive?*
I have read and agree to the policies included in the Encounter Intensive Handbook https://docs.google.com/document/d/1-iyDokle_zlzPkNlXxdLU1enW2n7at8SxD6qu4IA3u8/edit target="_blank" rel="noopener*
 
Additional Information:
 
 
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:*