Benicia Ballet Theatre's Summer Intensive Registration

To complete this form you will be paying $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 2020-2021 Medical Consent and General Information form before classes begin, and pay a $100 deposit."

*Students of Benicia Academy of Performing Arts and Dancer's particpating in the 2020-2021 season do not need to complete additional forms or registration after this is completed.

Thank you for registering your dancer!