Registration

Summer 2017
Registration

North Carolina Dance Institute
Summer 2017 Registration
Information Entry -> Confirmation -> Complete

Please provide the following information, make your class selections, and then click to submit the form to proceed.

Name of Student:
One form required per student
Name of Parent (s):
(or guardian) If the student is under 18. Example: Jane and John Doe
Street Address:
 
City, State, Zip:
, ,  
Telephone (Home):
 
Telephone (Work):
Multiple numbers may be listed, separated by a space
Telephone (Cell):
 
E-mail address:
Primary e-mail used for correspondence and invoices.
Questions or
Comments:

Please list any other questions, comments, etc. here. These will be attached to your form and submitted to NCDI. For general questions, you may first want to review the student information (this opens in another window).

Class and Camp Selections:
(Summer Dance Camps are listed at the bottom of the list, prefixed with "CAMP:")
MONDAY 6:00 PM Deep Stretch with Kirstie & Sarah (ages 13 - Adults)
MONDAY 6:00 PM Ballet 2A (MWS) with Melody (ages 11 - 15)
MONDAY 6:00 PM Int/Adv Tap with Ashley & Guests (ages 12 - Adults)
MONDAY 7:00 PM Int Jazz [B] with Kirstie & Kim Fox (ages 11 - 15)
MONDAY 7:00 PM Ballet 2A (MWS) with Melody (ages 13 - Adults)
MONDAY 7:00 PM Beg Tap with Kim (ages 12 - Adults) [CLOSED]
MONDAY 8:00 PM Int Jazz [B] with Kirstie & Kim Fox (ages 13 - Adults)
MONDAY 8:00 PM Xtremely Beginner Jazz with Valonda (ages 13 - Adults)
MONDAY 8:00 PM Int Tap with Kim (ages 13 - Adults)
TUESDAY 4:30 PM Creative Movement with Kim (ages 3 - 5)
TUESDAY 5:00 PM Beg Lyrical/ Contemporary with Sarah (ages 9 - 12)
TUESDAY 5:00 PM Beg Ballet (TWH) with Melissa (ages 12 - Adults)
TUESDAY 5:15 PM Jazz & Ballet with Kim (ages 6 - 9)
TUESDAY 6:00 PM Deep Stretch with Kirstie & Sarah (ages 13 - Adults)
TUESDAY 6:00 PM Beg Ballet (TWH) with Melissa (ages 13 - Adults)
TUESDAY 6:00 PM Beg Tap with Kim (ages 10 - Adults) [CLOSED]
TUESDAY 7:00 PM Adv Jazz [B] with Sarah & Emily (ages 15 - Adults)
TUESDAY 7:00 PM Ballet 2B (THS) with Carolyn (ages 13 - Adults)
TUESDAY 7:00 PM Beg Hip-Hop with Ronnie (ages 13 - Adults) [CLOSED]
TUESDAY 8:00 PM Ballet 3 (THS) with Carolyn (ages 15 - Adults)
TUESDAY 8:00 PM Beg Musical Theatre with Sarah & Victoria (ages 13 - Adults)
TUESDAY 8:00 PM Beg Hip-Hop with Ronnie (ages 13 - Adults)
WEDNESDAY 5:00 PM Pointe [B] with Melody (ages 11 - 16)
WEDNESDAY 5:00 PM Ballet 1B (TWTH) with Melissa (ages 9 - 12)
WEDNESDAY 5:15 PM Lil' Peeps Hip-Hop with Ronnie (ages 6 - 9)
WEDNESDAY 6:00 PM Ballet 2A (MWS) with Melody (ages 11 - 15)
WEDNESDAY 6:00 PM Beg Ballet (TWH) with Melissa (ages 13 - Adults)
WEDNESDAY 6:00 PM Beg Kids Hip-Hop with Ronnie (ages 9 - 12)
WEDNESDAY 7:00 PM Int Jazz with Emily (ages 13 - Adults)
WEDNESDAY 7:00 PM Ballet 2A (MWS) with Melody (ages 13 - Adults)
WEDNESDAY 7:00 PM Beg Hip-Hop with Ronnie (ages 13 - Adults) [CLOSED]
WEDNESDAY 8:00 PM Int/Adv Contemporary [B] with Emily (ages 15 - Adults)
WEDNESDAY 8:00 PM Int/Adv Hip-Hop with Ronnie (ages 13 - Adults)
THURSDAY 5:00 PM Ballet 1B (TWTH) with Melissa (ages 9 - 12)
THURSDAY 5:15 PM Moving with Moana with Meredith (ages 6 - 9)
THURSDAY 6:00 PM Beg Ballet (TWH) with Melissa (ages 13 - Adults)
THURSDAY 6:00 PM Beg Modern with Marsha (ages 13 - Adults)
THURSDAY 7:00 PM Int/Adv Modern [B] with Marsha (ages 13 - Adults)
THURSDAY 7:00 PM Ballet 2B (THS) with Carolyn (ages 13 - Adults)
THURSDAY 7:00 PM Beg Hip-Hop with Ronnie (ages 13 - Adults) [CLOSED]
THURSDAY 8:00 PM Int/Adv Musical Theatre [B] with Sally (ages 13 - Adults)
THURSDAY 8:00 PM Int/Adv Contemporary [B] with Ronnie (ages 13 - Adults)
THURSDAY 8:00 PM Not Your Momma's Hip-Hop with Erica (ages Adults - Adults)
SATURDAY 9:00 AM Deep Stretch with Sarah (ages 13 - Adults)
SATURDAY 9:15 AM Creative Movement with Marsha (ages 3 - 5)
SATURDAY 10:00 AM Ballet 2A (MWS) with Melody (ages 11 - Adults)
SATURDAY 10:00 AM Lil' Peeps Hip-Hop with Victoria (ages 6 - 9)
SATURDAY 10:05 AM Ballet 1 with Marsha (ages 10 - 15)
SATURDAY 11:00 AM Ballet 2B/3 (THS) with Melody (ages 13 - Adults)
SATURDAY 11:00 AM Beg/Int Hip-Hop with Erica (ages 13 - Adults)
SATURDAY 12:15 PM Int Contemporary [B] with Victoria (ages 13 - Adults)
CAMP: June 12-24 9:00 AM Summer Showcase [9-12 yrs] with Sarah, Kirstie, Guests (ages 9 - 12)
CAMP: June 12-24 12:30 PM Summer Showcase [13-18 yrs] with Sarah, Kirstie, Guests (ages 13 - 18)
CAMP: July 17-21 1:00 PM Contemporary Choreo-Lab with Sarah, Faculty, Guests (ages 12 - 18)
CAMP: July 10-14 10:00 AM Beginner Contemporary Intensive with Victoria (ages 10 - 15)
CAMP: June 26-30 1:00 PM Jazz Boot Camp with Victoria (ages 10 - 15)
CAMP: July 17-21 9:00 AM Summer Ballet Intensive with Melody (ages 12 - 16)
CAMP: June 26-30 10:00 AM Ballet Basics Boot Camp with Melissa (ages 9 - 14)
CAMP: July 10-14 9:00 AM Children's Ballet Intensive with Carolyn (ages 6 - 10)
CAMP: July 25-27 5:30 PM Pre-Pointe Primer with Melody (ages 12 - 17)
CAMP: July 11-14 1:00 PM Triple Threat Broadway Workshop with Sarah, Victoria, Julie (ages 9 - 14)
CAMP: July 24-28 10:00 AM Kids Hip-Hop Camp with Ronnie (ages 9 - 13)
CAMP: July 24-28 9:00 AM "Moana" Dance Camp with Kirstie, Kim (ages 3 - 6)
All student class selections are subject to approval by the Artistic Director.
Beg - Beginner,   Int - Intermediate,   Adv - Advanced
1, 2, 3, A, B... - Indicate class levels. 2B is higher than 2A, which is higher than 2, which is higher than 1. Classes without a level are considered beginner level.
[CLOSED] - A class is filled and cannot accept new students.
     Ask about waiting lists for closed classes.
[B] - Indicates 1 ballet class weekly required.
(MTWHS) - Accelerated classes meet twice weekly.
     Choose 2 of the specified days: Mon, Tue, Wed, THr, Fri, Sat.
TBA - To Be Announced.
Creative Movement: Children must turn 3 years old by May 1.

The following must also be completed for all new students
and updated annually for returning students:
Date of Birth:
mm/dd/yy
School:
 
Emergency Contact:
 
Emerg. Contact Tel:
Telephone number of the emergency contact person
Prior Dance Training:
Briefly describe what/where you studied and for how many years
Medical Problems:
Things we should be aware of, ex: allergies, previous injuries
Special Needs:
Things we should know to help us teach your child, ex ADD
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Hear About Us?
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Please let us know how you first heard about NCDI and what helped you decide to join. You may check multiple options.