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Benicia Ballet Theatre - 938 Tyler Street - Studio 204 - Benicia, CA - 94510

707.746.6757 - info@beniciaballettheatre.org

©2020 by Benicia Ballet Theatre

Benicia Ballet Theatre's Summer Intensive Application

To complete this form you will be paying the $100 deposit.

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PARENT/GUARDIAN INFORMATION

EMERGENCY CONTACT INFORMATION

"By submitting this form, I understand that I am required to complete the 2019-2020 Medical Consent and General Information form before classes begin, and pay a $25 registration fee."

*Students of Benicia Academy of Performing Arts and Dancer's particpating in the 2019-20 season do not need to complete additional forms or registration after this is completed.