EmailMe Form - Dancers In Balance Summer Experience

Name *

First Last

Email *

Phone *

### - ### - ####

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Emergency Contact

Name *

First Last

Relationship

Phone *

### - ### - ####

Email *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Dancer Details

Date of Birth *

MM / DD / YYYY

Gender *

Male

Female

Dance studio name and website *

Check all styles of dance in which you currently train. *

In the fall, I will be a *

Freshman in High School

Sophomore in High School

Junior in High School

Senior in High School

G.P.A.

Do you have a job? *

Yes

No

If yes, how many hours per week do you work?

Do you currently train 10 or more hours per week? *

Yes

No

Provide your weekly dance schedule below. (i.e. Monday: Jazz 4:30-5:30, Leaps and Turns 5:30-6:30, Hip Hop 6:30-7, etc.) *

Do you aspire to have a career in the dance industry after high school or college graduation? *

Yes

No

Upload a 1-3 minute video of you and ONLY YOU dancing from the current dance season. The video can be in studio, at recital, at competition, or in your home. If the upload has any issues, you can email the video to hello@dancersinbalance.com. *

Upload a response essay to the following question; What is the biggest challenge I face on a daily basis? There is no minimum or maximum length for the essay. Save your word or google doc file as a pdf before uploading. *

Recommendation Letter #1 *

Recommendation Letter #2 *