Students Professional Achievement Taking Exams Student Scholarship Information Summer School Teachers Accreditation Continuing Education Examination Information and Downloadable Forms Training Tips CCA Teacher Scholarship Information CCA Teacher Course Student Summer School Registration Form Student InformationStudent Name:* First Last Student Date of Birth:* Date Format: MM slash DD slash YYYY Student Phone:Student Email: Student Address:* Street Address City State / Province / Region ZIP / Postal Code Years Training:How many years of serious training have you completed? *Note: please enter numbers only (e.g. 10)Ballet Classes per Week:How many ballet classes are you currently taking per week? *Note: please enter numbers only (e.g. 4)Most Recent CCA Exam Passed:Select Exam GradeGrade IGrade IIGrade IIIGrade IVElementary (V)Intermediate (VI)Advanced (VII)DiplomaDoes not ApplySponsoring Teacher: First Last Sponsoring Teacher Phone:CCA Scholarship RecipientYesNoTwo 4×6 PhotographsTwo 4×6 photographs in solid colored leotard and pink tights must accompany application. Photographs must show two poses: tendu a terre to the second position (arms in second) and first arabesque. To avoid complications when submitting your application, please upload photos in the smallest size possible. First Photograph:*Image file type must be .jpg or .pngAccepted file types: jpg, png.Second Photograph:*Image file type must be .jpg or .pngAccepted file types: jpg, png.Parent/Guardian InformationParent/Guardian Name* First Last Parent/Guardian PhoneParent/Guardian Email Housing and Meal RequestI require housing and mealsI will be staying off campus and do not require mealsI will be staying off campus and will purchase meals when I arriveRoomate Request- (If applicable)Linen Request*CCA camp attendees will be provided linens (sheets, blankets, and towels) upon request only. If linens are not requested please pack sheets, blankets and towels with camp attendee.Yes, please provide linen package for this attendeeNo, attendee will bring sheets, blanket, and towels.Summer School Registration Fees:Note: Your Credit Card will be charged $200, once you submit this form. If you are accepted into our two-week summer intensive student program, you will be notified via email. You will also receive a registration package and invoice via regular mail. The remaining balance is due before June 1st, 2018. Student Registration Deposit: $200Student Registration Deposit:Note: The $200 registration deposit is non-refundable. $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Credit Card Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Summer SchoolSummer School CCA Teacher Course CCA Enhanced Men’s Training Program Guest Faculty 2020 Registration Form Registration Balance Form Partial Payment Balance Form Video Gallery Image Gallery
