Summer DanceCare Intensive Registration

DanceCare Registration

Social Media

Student's First Name

Student's Last Name

Age

School

Parent's Name

Parent Email

Emergency Phone Contact

Address

Parent's Phone

Session 1 (June)

Session 2 (July)

What are you looking forward to the most?

Choose Period and Time of Day

June (Available PM Only)

July (AM Only)

July (PM Only)

July (Full Day)

One Week June PM

Two Weeks June PM

Three Weeks June PM

One Week July AM Only

One Week July PM Only

One Week July AM & PM

Two Weeks July AM

Two Weeks July PM

Two Weeks July AM & PM

Three Weeks July AM

Three Weeks July PM

Three Weeks July AM & PM

Flex Card ( 4 (1hr) classes)

Flex Card ( 8 (1hr) classes)

Select: Part-Time or Full Time

Tell us which dance styles you have taken before

Ballet

Creative

Afro-Caribbean Dance

Contemporary

By sending this registration form, you give Ballet Caraibes permission to use dance images and video of your child on our website or on media materials that may appear on social network not limited to Youtube or Facebook. Thanks for your support!I agree to images and video the terms & conditions.

Your Registration was submitted!

Ballet Caraibes, LLC

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