Student Summer Intensive Registration Balance Student Summer School Registration Balance Form Student InformationStudent Name: First Last Student Phone:Student Email: Student Address:* Street Address City State / Province / Region ZIP / Postal Code Parent/ Guardian InformationParent/Guardian Name: First Last Parent/Guardian Phone:Parent/Guardian Email:*Note: Invoice Receipt will be sent to this email address. Is Parent/Guardian Address the same as the students address?*-YesNoParent/Guardian Address: Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Flight Details and TransportationHave you Booked your Flight?*Note: if you do not have your flight information, you can send your flight details to Stephanie Plansker at [email protected] once your flight information has been confirmed. Select OptionYesNoFlight InformationAirline CarrierWhich airline carrier are you using? Airtran, Delta, United etc...AirTranAir CanadaAllegiantAmerican Eagle UnitedDeltaFrontier UnitedUnitedOtherArrival Date:What date is your flight arriving? MM slash DD slash YYYY Flight Arrival Time:What time is your flight arriving? : Hours Minutes AM PM AM/PM Inbound Flight Number:What is your inbound flight number?Departure Date:What date is your flight leaving? MM slash DD slash YYYY Flight Departure Time:What time is your flight leaving? : Hours Minutes AM PM AM/PM Outbound Flight Number:What is your outbound flight number?Tuition BalanceIs student staying on or off campus?Select OptionONOFFTuition Balance (Student Staying on Campus)For students staying on campus, your invoice balance includes: Tuition Balance, Housing, Meal Plan.Tuition Balance:(Total tuition of $1000 less the $200 deposit previously paid) Price: Kollen HousingAdult supervised housing will be provided for dancers at Kollen Hall on the campus of Hope College. Price: Meal Plan (+ Banquet Fee)A full nutritional meal plan with three meals (Breakfast, Lunch, Dinner) per day are provided. Price: Airport Shuttle Service:Shuttle Service from Gerald Ford International Airport (GRR) to Hope College: $120 two way or $60 one way!Select OptionI will not require transportation to Hope College.One Way - $60.00Two Way - $120.00Balance TotalIncludes: Balance, Housing, Meal Plan, and Airport Shuttle if selected. $0.00 Tuition Balance (Student Staying Off Campus)Note: Total tuition ($750) is required. You then have the option to purchase the Meal Plan or the Award Ceremony fee.Tuition Balance: Quantity(Total tuition of $975 less the $200 deposit previously paid) Price: $775.00 Quantity Meal Plan: QuantityA full nutritional meal plan with three meals per day is provided. Price: $600.00 Quantity Airport Shuttle Service:Shuttle Service from Gerald Ford International Airport (GRR) to Hope College: $120 two way or $60 one way!Select OptionI will not require transportation to Hope College.One Way - $60.00Two Way - $120.00Total $0.00 Billing DetailsCredit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name Credit Card Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code NameThis field is for validation purposes and should be left unchanged. Δ
