2024 5-Week Summer Ballet Program

Application fee: $85

2024 5-Week Summer Ballet Program

Please fill out the application below to be considered for the 2024 CPYB 5-Week Summer Ballet Program.

Eligibility: Dancers with over two years previous dance experience ages 8-18*

**Dancers over the age of 18 after June 15, 2024 not eligible to apply.

Applicant Name*
First Name Last Name
Age (as of June 15, 2024)*
Date of Birth*
Home Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Email*
Home Number*
Mobile Number*
Do you have any health issues or injuries? If yes, please explain.*
Current Dance School*
Current Level*
Number of Ballet Classes Per Week*
Has the student attended the CPYB 5-Week Summer Ballet Program in previous years?*
- Yes
- No
How did you hear of our 5-Week Summer Ballet Program?*
Describe Other*
Required Photos
Photo #1: Headshot - Close up, full face, with hair up*
Photo does not need to be professional quality.
Drop files here or

Accepted file types: jpg, png, jpeg, gif, tif, Max. file size: 10 MB, Max. files: 1.
Photo #2: Croisé fourth on relevé*
Photo does not need to be professional quality.
Drop files here or

Accepted file types: jpg, png, jpeg, gif, tif, Max. file size: 10 MB, Max. files: 1.
Photo #3: First arabesque*
Photo does not need to be professional quality.
Drop files here or

Accepted file types: jpg, png, jpeg, gif, tif, Max. file size: 10 MB, Max. files: 1.
Program Specifics
If accepted, will your student desire housing in a Dickinson College residence?
Housing at Dickinson College is available for a limited number of students ages 13-18 as of June 15, 2024.
- Yes
- No
Parent/Guardian Information
Please fill out the parent/guardian section if applicant is under the age of 18.
Parent/Guardian Name
First Name Last Name
Parent/Guardian Home Address
Street Address City State / Province / Region ZIP / Postal Code Country
Parent/Guardian Home Number
Parent/Guardian Mobile Number
Parent/Guardian Email
Application Fee
Application Fee
Application Fee
$0.00

Credit Card*

Cardholder Name

Card Details

Agreement
I understand that upon submission of this application and the required photos, CPYB will approve or disapprove the application. All applicants will be notified of their status via the email address provided. CPYB’s policy is to not offer evaluations following auditions or applications. Application fee is non-refundable, regardless of acceptance. I understand my application will be timestamped upon submission and this determines eligibility for program rates. The options are described on CPYB.org/summer. I understand that following an acceptance, I must complete a separate commitment form to reserve my place in the 2024 5-Week Summer Ballet Program. There are deadlines to complete this commitment form in order to receive February, March or April rates.
Agreement*
- I Agree
Name
This field is for validation purposes and should be left unchanged.

2024 5-Week Summer Ballet Program

2024 5-Week Summer Ballet Program

Required Photos

Program Specifics

Parent/Guardian Information

Application Fee

Agreement

The School

Summer

CPYB

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