Clone of GSB Summer 2025

Parent/Guardian Name 1*

First NameLast Name

Parent/Guardian Name 2

First NameLast Name

Email*

example@example.com

Alt Email

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mobile Number*

Format: (000) 000-0000.

Work Number

Format: (000) 000-0000.

Alt Number

Format: (000) 000-0000.

Emergency Contact*

First NameLast Name

Emergency Phone Number*

Format: (000) 000-0000.

Student Name*

First NameLast Name

DOB

Date

Age

MaleFemaleN/A

YesNo

If Yes, please explain

"Fantasy Garden" June Dance Camp (ages 5-6)(new 7 yr old) June 15-19 (9:00-12:00)"Dancing Through Time" June Dance Camp-June(ages 7-9) June 22-26 (8:00-12:00)Apprentice Intensive-June (by placement) June 15-19 (9:00-4:00)Company Intensive-June (by placement) June 22-26 (10:00-6:00)"Candy Land" July Dance Camp-July (ages 3-4)(new 5yr olds) July 20-23 (9:30-11:30)"Princesses and Princes" July Dance Camp-July (ages 5-6)(new 7 yr old) July 13-17 (9:00-12:00)"Carnival of Animals" Dance Camp-July (ages 7-9) July 13-17 (1:30-5:30)Apprentice Intensive-July (by placement) July 13-17 (9:00-4:00)Company Intensive-July (by placement) July 20-24 (10:00-6:00)

YesNo

Student Name (sibling 2)

First NameLast Name

DOB

Date

Age

MaleFemaleN/A

YesNo

If Yes, please explain

"Fantasy Garden" June Dance Camp (ages 5-6)(new 7 yr old) June 15-19 (9:00-12:00)"Dancing Through Time" June Dance Camp-June(ages 7-9) June 22-26 (8:00-12:00)Apprentice Intensive-June (by placement) June 15-19 (9:00-4:00)Company Intensive-June (by placement) June 22-26 (10:00-6:00)"Candy Land" July Dance Camp-July (ages 3-4)(new 5yr olds) July 20-23 (9:30-11:30)"Princesses and Princes" July Dance Camp-July (ages 5-6)(new 7 yr old) July 13-17 (9:00-12:00)"Carnival of Animals" Dance Camp-July (ages 7-9) July 13-17 (1:30-5:30)Apprentice Intensive-July (by placement) July 13-17 (9:00-4:00)Company Intensive-July (by placement) July 20-24 (10:00-6:00)

Student Name (sibling 3)

First NameLast Name

DOB

Date

Age

MaleFemaleN/A

YesNo

If Yes, please explain

"Fantasy Garden" June Dance Camp (ages 5-6)(new 7 yr old) June 15-19 (9:00-12:00)"Dancing Through Time" June Dance Camp-June(ages 7-9) June 22-26 (8:00-12:00)Apprentice Intensive-June (by placement) June 15-19 (9:00-4:00)Company Intensive-June (by placement) June 22-26 (10:00-6:00)"Candy Land" July Dance Camp-July (ages 3-4)(new 5yr olds) July 20-23 (9:30-11:30)"Princesses and Princes" July Dance Camp-July (ages 5-6)(new 7 yr old) July 13-17 (9:00-12:00)"Carnival of Animals" Dance Camp-July (ages 7-9) July 13-17 (1:30-5:30)Apprentice Intensive-July (by placement) July 13-17 (9:00-4:00)Company Intensive-July (by placement) July 20-24 (10:00-6:00)

Student Name (sibling 4)

First NameLast Name

DOB

Date

Age

MaleFemaleN/A

YesNo

If Yes, please explain

"Fantasy Garden" June Dance Camp (ages 5-6)(new 7 yr old) June 15-19 (9:00-12:00)"Dancing Through Time" June Dance Camp-June(ages 7-9) June 22-26 (8:00-12:00)Apprentice Intensive-June (by placement) June 15-19 (9:00-4:00)Company Intensive-June (by placement) June 22-26 (10:00-6:00)"Candy Land" July Dance Camp-July (ages 3-4)(new 5yr olds) July 20-23 (9:30-11:30)"Princesses and Princes" July Dance Camp-July (ages 5-6)(new 7 yr old) July 13-17 (9:00-12:00)"Carnival of Animals" Dance Camp-July (ages 7-9) July 13-17 (1:30-5:30)Apprentice Intensive-July (by placement) July 13-17 (9:00-4:00)Company Intensive-July (by placement) July 20-24 (10:00-6:00)

I acknowledge that I have read, understand, and accept the Goldsboro School of Ballet policies, dress code, and have reviewed this information with the participant. Please sign below.*

YOU MUST SELECT THE CAMP(S) AGAIN FOR PAYMENT TO COMPLETE REGISTRATION!!!! Summer Camps (Use EARLYBIRD10 to get 10% discount through June 3rd)*

Candy Land July Dance Camp

July 20-23 Ages 3-5 9:30-11:30

$120.00 Quantity

Fantasy Garden June Dance Camp

June 15-19 Ages 5-7 9:00-12:00

$150.00 Quantity

Princesses & Princes July Dance Camp

July 13-17 Ages 5-7. 9:00-12:00

$150.00 Quantity

"Dancing Through Time" June Support Dance Camp

June 22-26 Ages 7-10. 8:00-12:00

$185.00 Quantity

"Carnival of Animals" July Support Dance Camp

July 13-17. Ages 7-10. 1:30-5:30

$185.00 Quantity

Apprentice Intensive-June

June 15-19, Ages 10-up (by placement). 9:00-4:00

$255.00 Quantity

Apprentice Intensive July

July 13-17 Ages 10-up (by placement) 9:00-4:00

$255.00 Quantity

Company Intensive June

June 22-26. Ages 13-up (by placement) 10:00-6:00

$295.00 Quantity

Company Intensive July

July 20-24. Ages 13-up (by placement) 10:00-6:00

$295.00 Quantity

Enter coupon

Total

$0.00

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Summer Camp Registration

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