BALLETTO INTERNAZIONALE AMERICANO-ADRIATICO
SUMMER INTENSIVE STUDENT APPLICATION
Name: _____________________________________
Date of Birth: ________________________________
Parent or Guardian Name:
__________________________________________
Address: ___________________________________
__________________________________________
Home Phone: ___________ Cell Phone: ___________
E-Mail: ____________________________________
Name of Teacher and Ballet School:
__________________________________________
__________________________________________
Length of Ballet Study: _______________________
Languages Spoken:
__________________________________________
SSN: ___________ Passport Number: ____________
Nationality: ________________________________
Photocopy of Page 1 and 2 of Passport Enclosed: _______
Head Shot Enclosed:____
Photo in First Arabesque Enclosed: ______
