2024 Summer Elementary Program Enrollment Application

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Student InformationStep 1 of 4

Student Information

Student Name
Select One:
Date of Birth
Students must be age 3 and above by 7/1/24.
Optional
Home Address
If you have no previous dance experience, please indicate that.

Parent/Guardian I Information

Parent/Guardian Name
Email
Address
Would you be interested in volunteering with José Mateo Ballet Theatre?

Parent/Guardian II Information

Parent/Guardian Name
Email
Address
Would you be interested in volunteering with José Mateo Ballet Theatre?

Emergency Contact Information

(other than Parent/Guardian)
Emergency Contact Name

ADDITIONAL INFORMATION

How did you hear about José Mateo Ballet Theatre?