Summer Dance Intensive 2019 Registration
The fee for the two-week intensive program is $700 until May 10 and $750 after May 10. The non-refundable payment must be received by August 1st, 2019, at the latest.

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 Dancer’s Full Name in the e-transfer notes and use password “Summer”

Dancer's Last Name *
Your answer
Dancer's First Name *
Your answer
Dancer's Date of Birth (Dancer needs to be 9 years of age as of September 1, 2019) *
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 Correspondence *
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 *
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