Summer Intensive 2010 Application Form
To sign up for the Summer Intensive 2010 - August 2 - Aug 22, 2009:
Click here for
a APPLICATION FORM (pdf) to Print and mail
OR -- Print out this page and mail it in with a photo of in 1st arabesque and a video
of the dancer, with no longer than 10 minutes of basic barre and center.
Include adagio, pirouettes, petite and grand allegro. women are to wear pointe shoes for
center work.
Ballet Hawaii, 650 Iwilei Rd. #221, Suite 295, Honolulu, Hawaii 96817
Please Print:
Student's Name: ___________________________Age:_____Birth date:______________
Mailing Address:
_____________________________________________________________________
City:________________________________________State:___________Zip:____________________
Email address: ___________________________________________________________________
Years of training __________ School(s) ________________________________________
Teachers _________________________________________________________________
Parent(s) or guardian: Mother's name:
_____________________________________________________________________
Phone: Day: ___________________Eve: ____________________Cell: _____________________
Father's name:
___________________________________________________________________
Phone: Day: ___________________Eve: ____________________Cell: ____________________
Other contact name:
________________________________________________________________
Phone: Day: ___________________Eve: ____________________Cell:
_____________________
Class level desired (placement will be determined by audition on the first
day of class)
$1200
(3 weeks, weekly rates available)
No.____________________Signature:___________________________________
