Summer Intensive 2021 In Person Registration
Sign in to Google to save your progress. Learn more
Email *
Name *
Phone *
Birth Date *
MM
/
DD
/
YYYY
Gender
Clear selection
Occupation
Address
City
State
Zip Code
Ballet Level
Clear selection
Years of Ballet
Modern Level
Clear selection
Years of Modern
Do you wish to audition for the company?
Clear selection
Additional Info
Application Signature *
Parent Signature (if less than 18 years)
I hereby give my permission to authorize any minor emergency medical treatment that may be required by the above-named participant during SDI 2021. I understand that I am responsible for all charges as a result of such care and medical treatment. I release and hold the SDI 2021, the facilities that they may utilize, the faculty, their agents, board of directors, and staff harmless from any and all liabilities while participating in any and all activities. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy