June - August 2013

(suggested ages 9 to 11)

(suggested ages age 12-14)

(suggested ages 15 and up)

(typically for ages 16 and up, by audition)

(for BJC apprentice positions by audition. Typically for ages 18 and up)

Registration

First Name: *
Last Name: *
Date of Birth: *
Gender: *	Male Female
Address: *
Address:
Address:
City: *
Province: *
Postal Code: *
Phone Number (primary): *
Phone number (secondary):
Email: *
Parent/Guardian Name (if under 18yrs.): *
Guardian Phone (primary) : *
Guardian Phone (secondary):
Guardian email: *
YOUR DANCE HISTORY
Current Dance Studio: *
# of years you have been dancing: *
# of years at current studio: *
# Ballet classes taken per week: *
# of dance classes per week: *
# Modern Contemporary Dance classes taken per week: *
# Jazz classes taken per week: *
Number and type of other dance classes taken per week:
Have you done Pointe?: *	Yes No
If yes, how many years?:
How old were you when you started on pointe?:
Past Dance studio(s):
Summer programs you've attended:
I WOULD LIKE TO ENROLL IN
Program: *

I qualify for a 10% discount, because I am a:
Would you like to be reserved a place in residence?: *	Yes please reserve a place for me in residence No I will not be needing a place in residence
If you need a place in residence, you must fill out the below form detailing your request for residence.

Please enter the text that you see in the image below:

My name is: *
Please reserve me a spot in residence for:
Week(s) of Sunday (month, day): *
to Sunday (month, day): *
Weekly Rate: *	Summer Intensive II or III: Ages 12 to 14 ($560/week) Summer Intensive II or III: Ages 15-17 ($532/week) Junior Company or Summer Intensive IV: Ages 16 & 17 ($427/week) Junior Company or Summer Intensive IV: Ages 18+ ($316/week)

Please enter the text that you see in the image below:

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