New York 2019 Ballet Intensive Application

2020 Ballet Intensive Application
Event *

June 28 - July 3, 2020 New York, NY
Information
All Ballet Intensive Applications Are Due By June 15, 2020. All Online Applications Require a credit card. Submit completed Application Online. Email (1) copy of Birth Certificate and (1) copy of Notarized Medical Authorization, required for all students under the age of eighteen (18) and (1) copy of Scholarship (where applicable) to sheerelite@gmail.com. Keep a copy of application for your record. All registrations will be confirmed once all documents and full payment is received. Participants unable to attend due to injuries or serious illness must send by mail a signed Doctor's certificate stating medical reason for cancellation. A processing fee of $50.00 will be withheld from total registration and balance applied to 2021 Ballet Intensive. No Handwritten forms may be substituted. There are no refunds.
Applicant Information
Student Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
Cell Phone *
Home Phone
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Emergency Contact *
Emergency Phone *
E-mail *
School Information
Instructor Name *

First Name Last Name
Studio Name *
Studio Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Work Phone *
E-mail *
2020 Tuition

*Scholarship copy required
My Products *
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Full Price $ 750.00

Quarter Scholarship* $ 562.50

Half Scholarship* $ 375.00

Full Scholarship* Free

Observers (Teachers Only) $ 100.00

Total $ 0.00
Applicant's Signature

(If Student is Under 18 yrs of Age, Parental Signature is Required)
Applicant's Initials *
*Note: The reciept you will recieve for your payment will be from gary.sheerelite@gmail.com
Should be Empty:

2020 Ballet Intensive Application

Information

Applicant Information

School Information

2020 Tuition

Applicant's Signature