SUMMER ELEMENTARY PROGRAM 2023

ENROLLMENT APPLICATION

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1Student and Parent/Guardian Information
2Demographic Survey
3Agreements
4Class Selection and Tuition

STUDENT INFORMATION

Select one:
Month
Day
Year
HOME ADDRESS
DANCE SCHOOL

PARENT/GUARDIAN I INFORMATION

ADDRESS
EMAIL
Would you be interested in volunteering with José Mateo Ballet Theatre?

PARENT/GUARDIAN II INFORMATION

Optional
ADDRESS
EMAIL
Would you be interested in volunteering with José Mateo Ballet Theatre?

EMERGENCY CONTACT

(other than Parent/Guardian)
NAME

ADDITIONAL INFORMATION

Best way to contact you
How did you hear about José Mateo Ballet Theatre?