| Registration Form: Ensemble |
| Inspiration for a Lifetime |
|
Printer Friendly Page: Please, (a) print it, (b) fill it out, (c) sign it, and (d) fax or mail it to the fax number or mailing address found on this and on all pages. (See, Contact page.) |
I would like to register for the Youth Ballet Prix in St. Petersburg, Russia 2007
the following Participants for the Ensemble category:
Spring YBP □ Summer YBP □ |
Please, check one of the sub-categories: |
| Ensemble 1 (4 - 6 Dancers) □ | Ensemble 2 (7 - 11 Dancers) □ |
| Ensemble 3 (12 - 17 Dancers) □ | Ensemble 4 (18 Plus Dancers) □ |
Ensemble 2, 3 and 4 categories: Continue entering the names on the Next pages. |
| 1. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 2. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 3. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 4. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 5. Last Name: | First Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
| 6.Last Name: | Fist Name: |
Spring YBP - Age on 12 March 2007:
Summer YBP - Age on 18 June 2007: | Female □ | Male □ |
Contact Information: Ballet Director (Teacher/Coach) |
| Last Name: | First Name: |
| Address: |
| City: |
| State/Province: | Zip/Postal Code:: |
| Country: |
| Telephone: |
| Fax: |
| Email: |
| Ballet School/Ballet Company: |
Signature: Date:
. |
We will contact you in due time, regarding the details: |
Continued | 1| 2 | 3 | Next >> |