Summer Intensive 2013 Application Form
Dates July 22 - August 11, 2013

Please also include a photo in 1st arabesque and a DVD, (no longer than 10 minutes) of basic barre, center, adagio, pirouettes, petite and grand allegro. Women are to wear pointe shoes for center work if you are on pointe. This DVD audition is required for applicants other than Ballet Hawaii students. 

Mail to:  Ballet Hawaii, 777 S. Hotel St. Suite 101, Honolulu, Hawaii 96813
                            Phone: (808) 521-8600 Fax: (808) 521-0383

Please Print:

Student's Name:____________________________________  Age:_____Birth date:_________________

Mailing Address:  _______________________________________________________________________  

City: ________________________________________State:______________ Zip:___________________

Email address:  _________________________________________________________________________

Years of training: ____ Ballet School(s): _____________________________________________________

Teachers: ______________________________________________________________________________

Academic School:_________________________________________________________Grade:_________

Mother's Name:__________________________________________Guardian:________________________

Address: ______________________________________________________________________________

Business Company Name _________________________E-mail address: ___________________________

Phone: Day:  ______________________Eve:  ____________________Cell:  ________________________

Father's Name: __________________________________________________________________________

Address: _______________________________________________________________________________

Business Company Name _________________________E-mail address:____________________________

Phone: Day: ______________________Eve:   ____________________Cell:  ________________________

Other contact name:   _____________________________________________________________________

Phone: Day: _____________________Eve:  ___________________ Cell:____________________________

(Placement will be determined by audition on the first day of class)

$1500.00 for 3 weeks and weekly rate at $600.00 a week for the Advanced and Intermediate Level. $800.00 for 3 weeks and the weekly rate of $300.00 for the Young Dancer level.  $200.00 non-refundable deposit due May 1, 2013. Final payment due June 1, 2013. Once you have been accepted, you will be able to pay the deposit and tuition online through our secure server.

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