Intensive Registration | Ballet Nocturne

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Summer Intensive Registration Form

Full Name of Dancer

Birthday of Dancer (MM/DD/YYYY)

Email

Secondary Email

Pronouns

How many years of ballet, pointe, jazz, and modern experience do you have?

Emergency Contact Name

Emergency Contact Daytime Phone

Please list any medical conditions, injuries, neurodiversities, or other information that you would like your dance teachers to be aware of.

Select an item ($) *

Full Intensive (June 16-27) - $625.00

One Week Intensive (June 16-20) - $350.00

One Week Intensive (June 23-27) - $350.00

I agree to the terms & conditionsView terms and conditions

I agree to the photo release (not required)View photo release

Your registration is complete! You will recieve an information packet via email 2 weeks prior to start date.

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