Ballet Arkansas Summer Intensive Registration Form 2019

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Fill out this registration form and submit the tuition deposit by March 30, 2019 to accept you/your dancer's place at the Ballet Arkansas Summer Intensive, July 22-26 and/or July 29-August 2. Tuition is due in full by June 30, 2019. Please contact Associate Artistic Director, Catherine Fothergill, catherine@balletarkansas.org with questions. Please visit balletarkansas.org/summer-intensive-accept to submit payments and review additional information.

My dancer would like to accept his/her place and attend the following week(s) of the Ballet Arkansas 2019 Summer Intensive: *

Week 1 (July 22-26, 2019) *$150 Deposit *250 Remaining Tuition (Total due: $400)

Week 2 (July 29-August 2) *150 Deposit *250 Remaining Tuition (Total due: $400)

Wk 1 & 2 (July 22-26, July 29-Aug 2) *$300 Deposit *$425 Remaining Tuition (Total: $725)

Other:

Dancer's First Name *

Dancer's Last Name *

Parent/Guardian First & Last Name *

Parent/Guardian Phone Number (Format: xxx-xxx-xxxx)

Parent/Guardian Email Address(es)

Emergency Contact First & Last Name (*if different than Parent/Guardian) *

Emergency Contact Phone Number (Format: xxx-xxx-xxxx)

Emergency Contact Email Address (if applicable)

Have you paid your deposit? The deposit for week 1 or week 2 is $150. The deposit for both weeks is $300. Deposits, applied towards your tuition, are due by March 30, 2019. Deposits are non-refundable unless the week does not fill. *

Yes, I have paid the tuition deposit through Ballet Arkansas' Website.

I will submit the tuition deposit via Ballet Arkansas' Website before March 30, 2019.

I will send the tuition deposit via check to Ballet Arkansas before March 25, 2019.

Other:

If you have paid your deposit, please enter your order # here, or list the date you sent the payment via mail.

Tuition is due in full by June 30, 2019. After submitting your deposit, the remaining tuition for week 1 or week 2 is $250 and $425 for both weeks. Tuition is non-refundable unless one of the weeks does not fill. Please select the appropriate option below:

I paid the remaining tuition for my dancer via BA's website and the order # is added below.

I will submit the remaining tuition before June 30, 2019 via BA's Website.

I will submit the remaining tuition to Ballet Arkansas via check before June 25, 2019.

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If you have paid the remaining tuition, please enter your order # here.

I would like to pay my dancer's full tuition before March 30, 2019 in one payment.

I plan to submit tuition in full for week 1 or week 2 ($400) before March 30, 2019.

I plan to submit tuition in full for both weeks ($725) before March 30, 2019.

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Please place any notes, allergies, ADA considerations here.

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