MK DANCE THEATRE

SUMMER SCHOOL
SIGN-UP FORM

DANCER: FIRST NAME*

DANCER: LAST NAME*

DANCER: DATE OF BIRTH*

Month

Day

Year

PARENT/GUARDIAN: NAME*

PARENT/GUARDIAN: EMAIL*

PARENT/GUARDIAN: PHONE*

CURRENT DANCE SCHOOL

DANCE STYLES STUDIED

BALLET

CONTEMPORARY

JAZZ/MODERN

MUSICAL THEATRE

TAP

LYRICAL

OTHER

TELL US A LITTLE ABOUT YOUR EXPERIENCES AS A DANCER:*

SUMMER SCHOOL SELECTION:*

Senior: Full Course (£180) *Includes Performance*

Junior: Full Course (£80)

Senior: Selected Workshops (£40)

Junior: Selected Workshops (£20)

Current Cohort Member (£0)

IF "INDIVIDUAL WORKSHOPS" SELECTED, PLEASE SPECIFIC CHOSEN DATES:

I understand that by filling out this form, I will be billed according to my above selection by MKDT.

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