Ballet Arkansas Junior Intensive Registration Form
Fill out this form to register for the Ballet Arkansas Virtual Junior Intensive, 2020 edition! We are offering two weeks of intensive, June 8th-12th and July 13th-17th (9am-1pm), and the option to do both weeks at a discounted price. All dancers must be age (7-10) by June 8th, 2020, unless approved by the Summer Program Director.

One Week: $125 I Two Weeks: $200
*Payment in full due June 3, 2020 for the June week. Payment is due in full by July 8, 2020 for the July week. Ballet Arkansas reserves the right to cancel any class which does not meet minimal enrollment and tuition is non-refundable unless the camp is cancelled on behalf of Ballet Arkansas.

Upon submission, you will receive a confirmation email with payment information. Please direct all inquiries to education@balletarkansas.org, and we look forward to seeing you this summer!
Email address *
Please fill out the full name of the person who is completing this form (must be the parent or legal guardian of the registered participant). *
Your answer
What is your relationship to the dancer who is being registered for the Junior Intensive? *
Your answer
Please register my dancer for the following: *
At this time, Ballet Arkansas is only accepting payments online. *
Dancer's First Name *
Your answer
Dancer's Last Name *
Your answer
Dancer's Age on June 8, 2020 *Dancer must be 7 years old by this date. *
Your answer
Date of Birth *
MM
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DD
/
YYYY
Current Dance School *
Your answer
Years of Training (2 required) *
Your answer
Current Academic School *
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian Phone Number (Format xxx-xxx-xxxx) *
Your answer
Best Phone Number During the Camp *
Your answer
Parent/Guardian Email Address *
Your answer
Emergency Contact First Name *If different than Parent/Guardian *
Your answer
Emergency Contact Last Name *If different than Paren/Guardian
Your answer
Emergency Contact Relationship to Participant
Your answer
Emergency Contact Phone Number *If different than Parent/Guardian
Your answer
Emergency Contact Email Address (if applicable)
Your answer
Please place any notes, allergies, ADA considerations here.
Your answer
I recognize that full tuition payment is required in order to complete my registration and hold my space in the Junior Intensive (first come first serve). *
I understand that the Tuition is non-refundable. Non-refundable includes unexpected circumstances and is without exception. Ballet Arkansas reserves the right to cancel any class/camp which does not meet minimal enrollment. *
I recognize that Ballet Arkansas is not liable for any injuries incurred while participating in Ballet Arkansas Junior Intensive Virtual classes, or during site specific performances, incurred by the dancer listed above. Ballet Arkansas is not liable for any personal property left on the premises or theft of personal property. *
I grant Ballet Arkansas permission to use the photographs or video taken during the Junior Intensive, which may include my dancer, for publicity, advertising, and web content. I recognize that these images may be utilized in Ballet Arkansas’ marketing materials on social media, website, and other public platforms. I may submit a written request to Ballet Arkansas for the removal of an image from Ballet Arkansas’ marketing materials or promotion, should I so desire. *
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