2026 Summer Aerial Dance Lab Registration

Student First Name

Student Last name

Student Birthday

Month

Day

Year

Parent/Guardian Name(s)

Phone

Address

Register:

Which session(s) would you like to register for?

Session A: July 20-24

Session B: August 10-14

Weekly Schedule: 10am-4pm Mon-Thur, 10am-1pm on Friday, with a showcase at 1pm on the Friday of each session.

Payment:

Venmo to @Ciarra-DOnofrio

Please make sure it is turned on as "friends and family."

If you prefer Paypal, check, or cash, please email me directly.

Cost:

1 session: $750 ($675 Early Bird Price before May 15!)

2 sessions: $1200 ($1150 Early Bird Price before May 15!)

Confirm your payment:

Payment sent on Venmo

My family uses Medi-Cal or Snap and would like a Scholarship

Photo Release:

As a parent or guardian of this student, I hereby consent to the use of photographs/videotape taken during the course of this activity for publicity, promotional and/or educational purposes (including publications, presentation or broadcast via newspaper, internet or other media sources).

Signature

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Emergency Contact Info

Parent Guardian Name(s) and Phone Number(s)

Secondary Emergency Contact Name and Phone Number

Thank you for registering. I look forward to teaching your aerialist!