Registration
Upon completing this registration form, submit photographs and audition video link to Joanne Smith at jsmith@paballet.org. Your $35 audition fee will be charged upon receipt of registration.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Relation 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:
Age as of June 21, 2021*
Current training facility*
Have you attended Pennsylvania Ballet Summer Intensive before?*
Are you also interested in the 2021 Trainee Program?*
Other Summer Intensives attended*
Years of training*
Years on pointe (if applicable)*
Ethnicity (optional)
How did you hear about the Pennsylvania Ballet Summer Intensive?*
 
Additional Information:
 
PAB Guidelines for Healthy and Safe Operation of SPB
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I've read the above and agree.
 
PAB Guidelines for Healthy and Safe Operation of SPB
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I've read the above and agree.
 
Covid Liability Waiver
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I've read the above and agree.
 
Covid Parent Agreement
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I've read the above and agree.
 
Audition Fee
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I've read the above and agree.
 
Photo Consent
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I've read the above and agree.
 
Medical Consent & Liability Waiver
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I've read the above and agree.
 
Authorization for Substituted Consent & Emergency
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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:*