Student Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Any health concerns we need to be aware of? *

Yes

No

Which EVENING classes are you registering for (Ages 13+)?

Please select all dates you wish to register for. There will be a 15% discount applied to your invoice, if you register for 5+ classes.

6:30-8:00pm Intermediate/Advanced Ballet Workshops (Ages 15+) - $28.50/class

8:00-8:45pm Foot Conditioning/Pre-Pointe/Pointe Workshops (Ages 13+) - $18.50/class

6:30-7:30pm Stretch/Strength/Conditioning (Ages 13+) - $22.50/class

7:30-8:30pm Esteem Ballet I/II (Ages 15+) - $22.50/class

6:30-7:30pm Esteem Ballet III (Ages 15+) - $22.50/class

7:30-8:30pm Intermediate/Advanced Jazz/Contemporary (Ages 15+) - $22.50/class

I understand that a waiver and invoice will be sent to me via Square during the next business day. They need to be filled out and paid within 3 days otherwise my spot will be offered to the next student. *

Yes

No

I am a current student/parent of Bez Arts Hub and have a credit card on file. I authorize Bez Arts Hub to process the summer camp fees using my saved information. *

Yes

No