SUMMER INTENSIVE 2008

~ REGISTRATION FORM ~

July 21-25 & Aug. 25-29

Dancer’s Name: ______________________________________________

Mailing Address: ______________________________________________

Home Phone # _______________________________________________

Other Phone # ________________________________________________________

Dancer’s Current Age __________ Date of Birth ____________________

Name of Parent/Guardian ______________________________________

Which week(s) of Summer Intensive are you selecting? _____________________________________________________________

Which ability level are you registering in?

_____________________________________________________________

By signing below I agree to release Penticton School of Dance (and its instructors) from any responsibilities if an injury should occur to my child in class.

Parent/Guardian Signature ______________________________________

Date _________________________________________________________

Fee Enclosed: $ ____________ (cheques payable to Penticton School of Dance)

Credit Card # _________________________________________________

Expiry Date _____________

Any allergies or medical conditions that we should be aware of?

__________________________________________________________________________________________________________________________

Level 1: up to 2 yrs. ballet training (8-10 yrs.) $225

Level 2: min. 3 yrs. ballet training or RAD Gr. 4 or higher (11 & 12 yrs.) $225

Level 3: min. 5 yrs. ballet training or RAD Int. Foundations or higher (13 & up) $250

Drop off or mail registration to:

221-1475 Fairview Rd. Penticton, BC V2A 7W5