Winter Intensive Registration

Please fill out and submit this form by December 31, 2025. You will receive a confirmation email with payment details. We look forward to seeing you there!

Student's Full Name

Student's Age as of 01/03/2026

Primary Email for Communications

Styles in which the student has trained and number of years (please include years en pointe if applicable)

Student's Health or Medical Conditions (Including Medications)

Emergency Contact's Full Name and Relation to Student

Emergency Contact's Phone Number

I understand that ballet is an athletic sport as well as an art, and that injuries may occur. I will not hold IBWI liable for any injuries that may occur. I will inform the IBWI faculty of any injuries the student may have so they can provide safe and proper accomodations.

In the event I cannot be reached, I hereby give my permission to the faculty, dancers and volunteers of Iasasthai Ballet Summer Intensive to authorize any emergency medical care that may be required by the above student during their participation in classes, performances, or any related IBWI event.

I allow photos and videos to be taken of my student durng IBWI. I will allow these photos to be used for social media, advertising, and other marketing or memorabelia purposes. I trust that the photos used will be subject to the discretion of IBWI, and that they strive to post only photos that present the students, teachers, and program in a flattering, appropriate manner.

Thanks for submitting! You will receive a confirmation email with payment details shortly.