Summer Intensive Registration Form

To register, please fill out the online form below, click SUBMIT, and print a copy of your form. Or download and print a blank registration form HERE. To complete payment, please bring a copy of your completed registration form to the Dance Studio.

Dancer's Name

Birthdate

Mailing Address, City, ST, Zip

Day Phone

Evening Phone

Primary Parent's Name

Parent's Name

Parent Address, if different

Person to be Billed

Email Address

Emergency Contact (Name/Relation)

Emergency Contact Phone:

Ballet Summer Dance Program (select from the dropdown):

Are you a new student at LASD?
If Yes, please visit the Dance Studio for placement and enrollment confirmation.

Current Ballet Level at LASD

Have you participated in Summer Intensive at LASD before?
If yes, which level:

By submitting this application, I agree to the following terms and conditions:
I have read this application and understand the School's policies as outlined. I understand that I am responsible for tuition payments. I certify that I am in good health and capable of participating in all School activities and classes.