Dance Clinic | Division of Student Affairs

Dancer's First and Last Name

E-mail

Phone Number

Classification: example: High School Junior, High School Senior, College Freshman, etc.

What school are you currently attending?

Are you interested in our 2027-2028 audition?

Please verify that you are human

Sept 19, 2026

$60.00 Quantity
Item subtotal:

Nov 14, 2026

$60.00 Quantity

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country