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Benicia Ballet Theatre's Summer Intensive Registration

When you complete this form go to our store and pay the $100 deposit.

Dancer's Information:


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 through our store."

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

Thanks for submitting!