VBTS 2017
Summer Camps
Online Registration Form

If you do not wish to submit online, you may simply print your completed form and send it with payment and signature to VBTS by mail.

Required fields are shown in red text.

Student Information:
Name: Date of Birth: Gender:
Already a VBTS Student ? Previous Dance School:
Grade in School: Years of Ballet study:

Parent/Guardian Information (If student under 18): If you are a student over 18 years of age please complete the Parent-1 section with your information.
Name:Home #:Work #:Mobile #:
Parent-1:
Parent-2:
Emergency Contact:

Address Information:
Parent-1: Billing
(Click here if Billing is same as Parent-1)
Name:
Address:
City/State/Zip:
Email:

Summer Camp Information:
Mini-Summer Intensive & Camps
Class Session Dates Campus Fees Register
Mini Summer Intensive
Intermediate IV - Advanced
Monday-Friday
Jun.5 - Jun.9
4-5:45pm - Technique
6-7pm - Pointe

June 12-16
4-5:45pm - Technique
6-7pm - Pointe
Essex $110.00/week - technique
$60.00/week - pointe



$110.00/week - technique
$60.00/week - pointe





Dance Camp with Mel Hendrix
"Cinderella Camp"
Monday-Friday
Ages 3 & 4
Jul.31 - Aug.4
9:00-10:00am
Essex $80.00/week
Dance Camp with Mel Hendrix
"Nutcracker Camp"
Monday-Friday
Age 5
Jul.31 - Aug.4
10:30-11:30am
Essex $80.00/week
Dance Camp with Mel Hendrix
"Sleeping Beauty Camp"
Monday-Friday
Ages 3 & 4
Aug.7 - Aug.11
9:00-10:00am
Essex $80.00/week
Dance Camp with Mel Hendrix
"Firebird Camp"
Monday-Friday
Age 5
Aug.7 - Aug.11
10:30-11:30am
Essex $80.00/week
Ballet Camp with Sarah Glick
Monday-Friday
Ages 7-9
(Ballet I & II)
Aug.7 - Aug.11
9:00am-12:00pm
Essex $180.00/week
Payment Information
Payment Method: Check
Credit Card
Payment with a credit card will add a 2% processing fee to the amount due.


Credit Card Information
VISA: Mastercard: Discover:
Name on Card:
Card #: Exp. MMYY: Sec. Code:
I authorize VBTS to charge my credit card for the amount(s) checked above plus processing fees.
How did you hear about us ?
Print Advertisement
VBTS Website
Returning Student
Referral from a current Student