2011 BALLET SEMINAR APPLICATION

*Required Field   Downloadable 2011 BS Application
EVENT*
JULY 5-10, 2011 | LAS VEGAS, NV    
APPLICATION TYPE* (Select one)
BALLET SEMINAR   * BALLET SEMINAR & COMPETITION (* Not available in 2011)    
APPLICANT STATUS* (Select one)
DEA MEMBER STUDENT DEA NON-MEMBER STUDENT  
INSTRUCTIONS
All Ballet Seminar Competition Applications Are Due By MAY 15, 2011. Submit completed application, Copy of Scholarship (where applicable) & Notarized Medical Release Form for all participants under the age of 18 is required along with a copy of Birth Certificate.  Keep a copy of application for your records. All registrations will be confirmed once all documents and full payment is received. Participants unable to attend due to injuries or serious illness after registration must send by fax or mail, a signed Doctor’s certificate stating medical reason for cancellation. A processing fee of $50.00 will be withheld from total registration and balance applied to 2012 Ballet Seminar. No handwritten forms may be substituted. ABSOLUTELY NO REFUNDS.
APPLICANT INFORMATION*
Student First Name: Student Last Name:
Date of Birth: Home Phone: Cell Phone:
Mailing Address:
City: State: Zip code:
Emergency Contact: Emergency Phone:
E-Mail:

SCHOOL INFORMATION*
Instructor First Name: Instructor Last Name:
Studio Name: Studio Address:
City: State: Zip code:
Work Phone: Work Fax: E-Mail:

2011 TUITION* (Scholarship copy required. Ballet Competition fee additional.)
BEFORE MAY 15, 2010
AFTER MAY 15, 2010
Full Price
$550.00 
$650.00
MEMBER
Half Scholarship*
$275.00
$325.00
Full Scholarship*
$    0.00
$   VOID

Full Price
$600.00
$700.00
NON-MEMBER
Half Scholarship*
$300.00
$350.00
 
Full Scholarship*
$    0.00
$   VOID
OBSERVER
Teachers Only
$100.00
$150.00

2011 COMPETITION FEES & MATERIAL REQUEST (Not available in 2011)
COMPETITION MATERIALS
YES  - NO
COMPETITION FEE
LEVEL I - (N/A)
COMPETITION FEE
LEVEL II - (N/A)
COMPETITION FEE
LEVEL III - (N/A)
PAYMENT
TOTAL COST $ 

APPLICANT'S SIGNATURE (If Student is Under 18 yrs of Age, Parental Signature is Required)
 
Applicant's Initials*: