Laurel Ballet - An education you can count on! Performances you can be proud of!

LAUREL BALLET SUMMER INTENSIVE PROGRAM
JULY 29 – AUGUST 1.
REGISTRATION FORM
 
To Register – Mail $25.00 and this form to: 216 Thomas School Rd. Greensburg, Pennsylvania 15601
 
Please note that the registration fee is in addition to the cost of the workshop.
 
 
__________________________________________________ Name
 
__________________________________________________Parent/Guardian
 
__________________________________________________ Contact Telephone Number
 
__________________________________________________  Address
 
________________________ Birthdate
 
Any health issues or things we should be aware of:
 
 
 
 
 
Please check appropriate week and full or half day:  Cost for the full day is $325.00 per week.  Cost for the half day is $162.50 per week.
 
Week One:  July 29 – August 1.: ______________
Full Day 9:00am to 3:00pm ________    Half Day 9:00am to noon __________
 
 
Week Two:   August 5 – August 9_____________
Full Day 9:00am to 3:00pm ________    Half Day 9:00am to noon ___________
 
 
Total Due:
                   Registration Fee - $25.00/ Cost of Workshop – Full Day $325.00 per week.
                     Registration Fee - $25.00    ______                                       
                    One week -            $325.00 ________
                     Both weeks -        $650.00 ________
 
 
                     Registration Fee - $25.00/ Cost of Workshop – Half Day $162.50 per week.
                     Registration Fee - $25.00   ________
                     One week -           $162.50 ________
                     Both weeks           $325.00 ________
 
If taking one week only, please check which week you will be attending:

Week One: ______________   Week Two:_________________
 
 
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