2025 Summer Intensive Program Audition Pre-Registration Form

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Personal Information – Step 1 of 4

Student Information

Student Name

First

Last

Date of Birth

Gender

Optional

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

How did you hear about José Mateo Ballet Theatre's Summer Intensive Program?

Parent/Guardian I Information

Parent/Guardian Name

First

Last

Email

Phone

Parent/Guardian II Information

Parent/Guardian Name

First

Last

Email

Phone