Summer Dance Intensive Registration
The fee for the two-week intensive program is $700. This non-refundable payment must be received by August 1st, 2018. Registrations and payments received by June 30th, 2018 will receive a free Kittiwake Dance Theatre t-shirt or tote bag.

Payment options:
1) Cheque made payable to Kittiwake Dance Theatre, and mailed to P.O. Box 7414, St. John’s, NL, A1E 3Y5
2) E-transfer sent info@kittiwakedancetheatre.ca. Please include Parent/Guardian full name and Dancer’s Full Name in the e-transfer notes.

Dancer's Last Name *
Your answer
Dancer's First Name *
Your answer
Dancer's Date of Birth *
MM
/
DD
/
YYYY
Dancer's Gender *
Your answer
Name of Parent/Guardian (if dancer is under 18) *
Your answer
Parent/Guardian E-mail *
Your answer
Dancer's E-mail
Your answer
Preferred E-mail for Correspondance *
Your answer
Mailing Address *
Your answer
Phone Number *
Your answer
Health Concerns or Other Info *
Your answer
Years of Dance Experience *
1
2
3
4 or more
Ballet
Modern
Contemporary
Jazz
Please indicate payment method *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms