SD I-III Program Application Form

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Summer Intensive I, II, III Program Application Form

Please use this Application Form to apply to Summer Intensive I, II or III.

I am registering for acceptance into the following program:
I am applying for acceptance to:*
- Summer Intensive I
- Summer Intensive II
- Summer Intensive III
Summer Intensive I Weeks*
- July 6th-9th
- August 24th-27th
Summer Intensive II Weeks*
- August 8th-12th
- August 14th-18th
- August 8th-18th
Note: Pointe is required for the Two Week session. For no pointe requirement, please select the weeks individually*
Will you require Residency during the program?*
- Yes
- No
Detailed information will be provided at a later date.
ABOUT THE STUDENT
Student Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone Number*
Mobile Number
Email [primary contact]*
Enter Email Confirm Email
Gender*
- Female
- Male
- Non-Binary
- Prefer not to say
Pronouns
Date of Birth*
Month
Day
Year
Your Age today:*
ABOUT MY TRAINING
Current or most recent dance school name:*
Dance school contact name:
Dance School City and Province:*
City Province
# of years you have been dancing:*
Are you currently taking classes at your dance studio?*
- Yes
- No
What is the format of those classes?
- In Person
- Virtual
- Both
# Ballet classes per week:*
# Modern Contemporary Dance classes per week:*
# Jazz classes per week:*
List number and type of additional dance classes*
Total # of dance classes per week:*
Have you done Pointe ?*
- No
- Yes
If yes, how many years?
How old were you when you started on pointe?
Past Dance studio(s):*
Summer programs you've attended:
ABOUT MY PARENTS/GUARDIAN
If dancer is under the age of 18.
Main Parent/Guardian Contact Info:
First Last
Parent/Guardian Telephone Number (1)
Telephone Number (2)
Parent/Guardian Email Address
Mailing information same as student
- yes
- no
Address
Street Address Address Line 2 City Province Postal Code
2nd Parent or Guardian Info:
First Last
Parent/Guardian Telephone Number (1)
Telephone Number (2)
Parent/Guardian Email Address
Mailing information same as student
- yes
- no
2nd Guardian Address
Street Address Address Line 2 City Province Postal Code
Would you like to receive information about CBJ programming in your area?*
- Yes
- No

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Summer Intensive I, II, III Program Application Form

I am registering for acceptance into the following program:

ABOUT THE STUDENT

ABOUT MY TRAINING

ABOUT MY PARENTS/GUARDIAN