| Quinte Ballet School of Canada |

Ballet Information
Academic grade in Sept 2010	Ballet method studied	# of years in training
A 4x6 photo showing 2nd position tendu facing front must be mailed to the school.
Last ballet exam, if applicable	# of classes/week	Dance school or teacher(s)
Please indicate if you have at least one year of work in the following areas: Pas de Deux Character Jazz Moderne
Other relevant training please specify

Parent/Guardians of Students Auditioning for the Full Time Professional Program:

Parent/Guardian Name

Date

Parent/Guardian Attendance Attending Not Attending

I have requested to have my child assessed to attend the Quinte Ballet School of Canada's full-time
Professional Training Program. By checking this box I (the parent/guardian) of the applicant have
witnessed and approved this apllication process and any video submitted for review.

Audition Information or Video Audition Link Submission
Audition Location (City & Date of Audition) Check Audition Tour Dates >>	Video Audition Link (I cannot attend any of the tour audition locations) View Video Audition Instructions >>
Fee Information
CDN $40 non-refundable audition fee CDN $40 non-refundable DVD audition fee. Please contact the administrative office at 1-866-962-9274 to make payment arrangements.

School Information
Current Academic Grade	Current Dance School	Method/Level Studied & Last Exam Passed
A 4x6 photo showing 2nd position tendu facing front must be mailed to the school.

I am enrolling in:
	Professional Intensive Program (A four-week session which is the second part of the audition for acceptance into the full-time Professional Training Program.)
	Open Program (no audition required)
	Four-week Session July 1 - July 27/12
Two-week Session (Open Program only)
	July 1 - July 13/12
	or July 16 - 27/12
	Residential Student
	Day Student
How did you hear about the Ballet School? (i.e. dance school, website, advertising, promotional materials, etc.)
Have you attended our Summer School Program previously? If so, when and which program?

Payment Information

Please contact the administrative office at 1-866-962-9274 x22 or finance@qbsc.ca to make payment arrangements.

Tax Credit
Name of Payer for Fitness Tax Credit
Address if different then above
Street Address	City	Province
Country	Postal Code

Classes First Term

Discounts are available to students taking 3 or more classes. All taxes are included in our prices.

Select a class

Classes Second Term

Discounts are available to students taking 3 or more classes. All taxes are included in our prices.

Select a class

Performance Fee

Performance Fee: This fee helps defray performance related expenses for the annual Spring Festival such as make-up, costumes, auditorium rental, and end-of-year party. The amount of the performance fee will be communicated with the parents/guardians prior to the start of the second term.

Payment Information

Please contact the administrative office at 1-866-962-9274 x22 or finance@qbsc.ca to make payment arrangements.

Student Information
First Name	Last Name	Middle Name
Gender Female Male	Date of Birth	Current Age

Student Contact Information
Parent/Guardian's Name(-18yrs)	Street Address	City
Province/State	Country	Postal Code/ZIP
Telephone Day	Telephone Evening	Email Address

			1	2	3	4
5	6	7	8	9	10	11
12	13	14	15	16	17	18
19	20	21	22	23	24	25
26	27	28	29

About Us

Professional Training Program

Summer Dance Program

Umbrella Dance Program

Registrations

I would like to:

Student Information

Student Contact Information

Ballet Information

Parent/Guardians of Students Auditioning for the Full Time Professional Program:

Audition Information or Video Audition Link Submission

Fee Information

School Information

I am enrolling in:

Payment Information

Tax Credit

Classes First Term

Classes Second Term

Performance Fee

Payment Information

Submit Form

Summer Dance 2012 RegistrationJuly 01, 2012 - Details »

Easter WeekendApril 06, 2012 to April 09, 2012 - Details »

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