Metayer Conservatory

Registration Form (Ballet Bootcamp / Contemporary Intensive)

Student's First Name

Student's Last Name

Street Address

City

State (i.e GA)

Zip Code

Contact Email

Contact Phone Number

Applicant's Date of Birth

Student's Age

Gender (M / F)

Previous Dance Training School

Years of Training

Student's School Name

School Grade

Parent or Guardian First Name

Parent or Guardian Last Name

Parent or Guardian Email

Parent or Guardian Phone Number

Any medical conditions (i.e. asthma, heart disease, mental illness, or N/A)

Select Class(es) Below:

BALLET BOOTCAMP

Week 1 ONLY (Jul 6 - Jul 10)

Week 2 ONLY (Jul 13 - Jul 17)

Both Weeks (Jul 6 - Jul 17)

CONTEMPORARY INTENSIVE

Week 1 ONLY (Jul 13 - Jul 17)

Week 2 ONLY (Jul 20 - Jul 24)

Both Weeks (Jul 20 - Jul 31)