2019 Oakland Ballet Summer Intensive Application Form
Application form for Oakland Ballet Company's summer intensive workshop, July 8-26, 2019.

This three week program is perfect for dancers with a minimum of 3 years training. Minimum age: 7.* (Two week and one week enrollment is available upon request.)

Each week will feature new faculty members as well as repertoire, choreography and enrichment activities from different ballets.

*Age is used as a general placement guideline. Students will be evaluated and placed in the session that best matches their maturity and technical level.

Tuition:
Early registration rates (enrolled and deposit paid by March 31)
$1,650 for the full three week program ($1,795 after March 31)
$1,130 for two weeks ($1,165 after  March 31)
$595 for one week ($625 after March 31) 

Location
Ballet Petit
2501 Industrial Parkway West
Hayward, California 94545

We would like every dancer to experience the full benefit of our Summer Intensive. To accomplish this, please note that absences are not allowed and attendance is required for all scheduled classes and rehearsals during the weeks enrolled. (Exceptions will be made in the case of an emergency.)

Requested Intensive Level *
Session *
If you chose "Two sessions" above, please indicate which weeks you will attend.
Your answer
Student First Name *
Your answer
Student Last Name *
Your answer
Student Birth Date *
Your answer
Parent First Name *
Your answer
Parent Last Name *
Your answer
Note that you will primarily be contacted by email. If this is problematic, please make a note that you would like to be contacted by phone only.
Your answer
Email Address *
Your answer
Phone Number *
Please provide the number where you prefer to be contacted.
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Number of years student has been studying ballet. *
Your answer
Please describe your training history, including studios you have studied at, teachers you have studied under, summer workshops attended and any significant performances. *
Your answer
Have you participated in Oakland Ballet Company's summer dance program (formerly known as Ballet Boot Camp) in previous years? *
If "yes," during which years did you attend Oakland Ballet Company's summer program?
Your answer
Emergency Contact Number *
Please enter number where you can be reached in the event of an emergency.
Your answer
Allergies
Your answer
Current medications
Your answer
Any medical conditions of which we should be aware
Your answer
I hereby give my consent to the Oakland Ballet Company, to whose care my child is entrusted, the authorization for any emergency medical treatment, including any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care needed to be rendered on the advice of any physician, surgeon, medical practitioner, or under the provisions of the Dental Practice Act.The Oakland Ballet Company does not provide medical insurance. Each family must provide their own coverage. *
Please type your name below to sign this form.
Your answer
As a student training and/or performing with Oakland Ballet Company, I hereby irrevocably consent to release all rights to photographs, videotapes, or other recordings of me taken by Oakland Ballet Company during classes, rehearsals, and/or performances. All negatives and positives together with any and all prints now and in the future shall constitute Oakland Ballet Company's property solely and completely. I understand that I may not videotape any classes, performances or rehearsals without prior consent. *
Please type your name below to sign this form.
Your answer
Date *
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