Apply Today | Central Pennsylvania Youth Ballet

I am applying for the*

IN-PERSON PROGRAM (5 weeks; dancers with previous dance experience, ages 7 – 18**)
VIRTUAL PROGRAM (5 weeks or weekly; dancers with previous dance experience, ages 11-14)

**Dancers over the age of 18 after June 19, 2021 not eligible to apply.

Applicant Name*

Age (as of June 19, 2021)*

Date of Birth*

Home Address*

Email*

Home Number*

Mobile Number*

Do you have any health issues or injuries? If yes, please explain.*

Please tell us briefly about your ballet training (school, current level, number of classes per week (technique and pointe), years of study).*

Has the student attended the CPYB 5-Week Summer Ballet Program in previous years?*

Yes
No

Required Photos

Photo #1: Headshot - Close up, full face, with hair up*

Photo does not need to be professional quality.

Drop files here or

Photo #2: Croisé fourth on relevé*

Photo does not need to be professional quality.

Drop files here or

Photo #3: First arabesque*

Photo does not need to be professional quality.

Drop files here or

Program Specifics

IN-PERSON PROGRAM: If accepted, will your student desire housing in a Dickinson College residence?

Securing housing off-campus is strongly encouraged. On-campus housing is currently available; however, space is limited. This is provided through Dickinson College and subject to change at any time. It is available for accepted students ages 13-18 (as of June 19, 2021).

Yes
No

VIRTUAL PROGRAM: If accepted, please check the week(s) your student will attend.

Select All
Week 1
Week 2
Week 3
Week 4
Week 5

If accepted, will you need to apply for a tuition scholarship? (If so, we will know to include that application with acceptance notification.) Scholarship application deadline is January 22, 2021.

Yes
No

Parent/Guardian Information

Please fill out the parent/guardian section if applicant is under the age of 18.

Parent/Guardian Name

Parent/Guardian Home Address

Parent/Guardian Home Number

Parent/Guardian Mobile Number

Parent/Guardian Email

Application Fee

$0.00

Credit Card*

Cardholder Name

Card Information

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. Application fee is non-refundable. 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 my acceptance, I must complete a separate commitment form to reserve my place in the 2021 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

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