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Intermediate/Advanced Summer Intensive Registration Form - August 2024
Our Intermediate/Advanced Summer Intensive will be held August 5-9, 2024 from 10am-3pm each day.  This summer program is open to dancers age 12+ (11+ with instructor approval) who are at an Intermediate or Advanced level of ballet (roughly 3+ years experience).  Dancers do not need to be en pointe to participate.    

There is a $50 deposit due within 7 days of registration to reserve your spot in the program; the remaining tuition balance is due on the first day of the intensive.

Please complete the form below to register.  

You will receive an email confirmation with a copy of your responses.  

Please complete one form per dancer.
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Email *
Optional Secondary Email (email is our primary form of communication)
Student Name (First and Last) *
Parent/Guardian Name (First and Last) *
Student Age (as of August 5) *

Parent/Guardian Phone Number *
Full Address *

If you have not attended this summer program before: How many years of dance experience do you have?  At what studio?  What styles of dance?
Are you en pointe? If yes, for how long? *
Dancers will have a break for lunch from 11:30-12:30 each day.  Does your dancer have permission to walk to Winans and/or eat lunch outside, in a group, during this time, if they desire to do so?
 *
Does your dancer have any medical conditions, severe allergies, or recent injuries that we should be aware of? *
Promotions/Media-

Gary Geis School of Dance takes photographs and/or videos of students, instructors and classes/performances.  Photos and/or videos may be used in social media, brochures, press releases, news articles, websites and other materials (print or online) to assist in promoting the school and its activities/events.  

Do you consent to having your dancers photograph/video taken and used for the above listed purposes?
 *

Liability-

A doctor's written permission to study dance will be required from any student whose health warrants caution in physical activity.  Gary Geis School of Dance is not liable for students whose health may be affected by dance training and is not liable for injury during class or while on the premises.  

I have read, understand, and agree to the liability terms and conditions as listed in this registration form.

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How did you hear about our summer program? *
Thank you for registering for our Summer Intensive!    If you don't already do so, please follow us on Facebook and Instagram (@garygeisdance) to stay up to date on studio events!  Please feel free to leave a comment below:
A copy of your responses will be emailed to the address you provided.
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