Summer Registration

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Summer Registration

August 2-6 at DANCE CITY & THE ARTS

Please fill out one form per child.
If you are attending multiple programs, please complete the designated form for each program.
Contact Director Victoria Manning at school@neballettheatre.com with questions and for sibling discount.

Email *

Student Name (First, Last) *

Student Email *

Student Bithdate *

Student Gender *

Female

Male

Other:

Parent 1 Name (First, Last) *

Parent 1 Phone Number *

Parent 2 Name (First, Last)

Parent 2 Phone Number

Parent(s) Email *

Student & Parent Main Address *

Emergency Contact *

What level will you attend? *age as of August 2nd* *

Intermediate (ages 9-13)

Advanced (ages 14+)

Dance Training History (school of study, # of years dancing, styles, hours/week, etc.) *

Is your dancer en pointe? If so, for how long? *

Allergies, Past Injuries, Applicable Health Conditions (if none enter n/a) *

Will you apply for need based scholarship? If so please select the third payment plan below and stay tuned for an email including the application. *

Yes

Payment Plan *

In Full at time of registration ($540)

50% at time of registration 50% due June 1, 2021 (2 installments of $270)

Registration deposit of $50 at time of registration, then 50% due May 1, 2021, 50% due June 1, 2021 (Due May 1st= $245, due June 1st= $245)

Payment Method *

Paypal (to info@neballettheatre.com) Please put student name in message.

Check/Money Order Mailed to Victoria Manning The SNEBT 55 Oakland Ave A4 New Britain CT 06053 (made payable to New England Ballet Theatre)

A copy of your responses will be emailed to the address you provided.

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