Summer Dance Intensive Registration If you are human, leave this field blank. Student Information First Name * Middle Name Last Name * Gender * Female Male Date of Birth * Age as of July 1, 2020 * Academic Grade as of September 2020 * Student Cell Phone Number Student Email Address Parent Information Mother/Guardian's Name (-18) Father/Guardian's Name (-18) Street Address * City * Province/State * Country * Postal Code/ZIP * Email Address * Home Phone Number Cell Phone Number * School Information Current Dance School Method/Level Studied & Last Exam Passed A 4x6 photo showing 2nd position tendu facing front must be uploaded here, or emailed to the School at email@example.com Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 8.39MB (.jpg, jpeg, gif) I am enrolling in: Please check all that apply: * Professional Training Program (audition required) Open Training Program (no audition required) Residential Student Day Student Open House I am interested in attending the April 9 2020 Open House for an information session at QBSC highlighting the Professional Training Program, Academic and Homestay Programs. Have you attended our Summer Dance Intensive previously? If so, when and which program? How did you hear about the Quinte Ballet School of Canada: * Website Social Media Magazine Current dance school Word of mouth Returning student Other. Please specify:Other. Please specify: Fee Information Please contact the administrative office at 613-962-9274 ext 21 or firstname.lastname@example.org to make payment arrangements.