Pittsburgh Youth Ballet Company & School

Intensive Summer Program July 6 to July 31, 2015

Stephanie Zungre, now New York City Ballet

“PYBC helped me discover my desire and love for

dance. It gave me direction to where I wanted to go

in ballet. The teachers made ballet fun with all of

their enthusiasm, encouraging words and corrections”.

Thank you for your interest in the Pittsburgh Youth Ballet Company’s Summer Intensive Program. We hope you will take advantage of this exciting opportunity to study with other talented dancers from across the country at our new studios and state-of-the-art facilities.

The Summer Intensive Program begins July 6 and ends July 31, and is open to dancers of all levels. Our Senior Intensive Program is geared towards dancers of the advanced/intermediate and advanced Levels 6-8, while our Junior Program is specifically designed for intermediate students Levels 3-5. Moreover, for both the Intensive programs, students have the option of attending on a weekly basis if space allows. We like to keep our enrollment to around 15 students per class so that each dancer will have individual attention with a strong emphasis on detail, and encouraged to achieve artistry and clean strong technique.

Our summer faculty includes some of the most distinguished teachers and choreographers from around the world, including Jean Gedeon, Dana Arey, Kathy Stark, Erin Halloran, Christine Rennie, Alan Obuzor, and Patrick Henson along with other internationally renowned teachers such as NYC Allumni Garielle Whittle. Dancers will have the opportunity to take advantage of many planned activities including swimming, picnics, sightseeing, educational tours, water parks, amusement parks, shopping, as well as enjoying dance and musical performances.

Please fill out the following 3 pages and return to Pittsburgh Youth Ballet Company & School, 210 Valleybrook Road, McMurray, PA 15317 along with your deposit and registration fee. Forms can also be emailed to or faxed to 724-969-6900.

Pittsburgh Youth Ballet Company & School Payment Schedule

Photos Required

No photos are required for PYBCO students.

July 6, 2015- July 31, 2015

Full Summer Enrollment Options:

Senior Intensive Four-Week Summer Program Tuition

Levels 6-8 (full day, M-Sat): 4 weeks $1600.

Junior Intensive Four-Week Summer Program Tuition

Levels 3-5 (¾ day, M-F): 4 weeks $1300.

Weekly Enrollment Tuition Options:

Senior Intensive weekly Summer Program

Levels 6-8 (full day, M-Sat): $500.00 weekly.

Junior Intensive weekly Summer Program

Levels 3-5 (¾ day, M-F): $400.00 weekly

Fees Due upon Registration

Junior

$35. Individual Application fee (non-refundable) OR $40 Family registration

$100. Tuition deposit per week attending, which will be applied to total tuition. (non-refundable)

*Priority registration will be given to those students attending all four weeks. Enrollment is limited. Classes are filled on a first-come basis. Make checks payable to PYBCO, 210 Valley Brook Road, McMurray, PA 15317

·  You must be registered for the full week. You can not make up a day or two in the following week as it may overcrowd the classes. You may pay for individual days if there are openings in the class.

·  Lunches must be ordered the first day of the week at registration if you are buying your lunch. $6.00 a day includes a choice for lunch with salad, fruit, cookie and unlimited drinks.

Payment Schedule

By June 1st Half of total tuition due

By July 1st Remaining balance of tuition and fees due

Please register early. You will be notified within two weeks by Email or regular mail from receipt of registration with payment.

Name______

Email Address ______

Zip ______Phone ______

Address______

Attendance Information

Please indicate the weeks in which you will be attending:

Senior Intensive Junior Intensive

Week 1 ______Week 1______

Week 2 ______Week 2 ______

Week 3 ______Week 3 ______

Week 4 ______Week 4 ______

Pittsburgh Youth Ballet Company & School

Junior Intensive Application Form Summer 2015

St Petersburg Center · 210 Valley Brook Road · McMurray, PA, 15317

Phone: 724. 969.6000 · FAX 724. 969.6900

Email - or . • website- www.pybco.org

Name ______

(Last) (First) (Nickname)

Address______City ______

State ______Zip ______Phone ______Email: ______

Mother’s Name ______Work Phone # ______

Mother’s cell Phone ______Student’s cell______

Place of Employment Occupation ______

Father’s Name ______Work Phone/ Cell ______

Place of Employment ______Occupation______

Birth Date ______Height ______Shirt size ______Emergency Phone(_____)______

Former & Current Ballet School______

Number of Years Attended ______

Teachers______

By signing below, I understand that full tuition is due regardless of the number of classes attended. There will be no refunds of tuition due to schedule conflicts, vacations, etc. All deposits are non-refundable.

Parent Signature ______

As payment we accept VISA / MasterCard /DiscoverCard -Checks should be made payable to PYBC

Weeks Attending ______

Local Resident Form

Total Summer Tuition ______

Total Tuition Deposit:______

$35 Application Fee ______

($40 Family Application fee - non refundable)

Total Enclosed/ Deposit______

****Please note that payment is due at time of registration/application. Registration will NOT be accepted until payment is received.

Pittsburgh Youth Ballet Co. Medical Release Form

Dear Parents:

Please read the following carefully: Your child will not be permitted to attend classes until this release is received by PYBC. “I am aware that ballet dancing and the gymnastic exercise associated with it place unusual stress on the body and carry with them the risk of physical injury. On behalf of my child and myself, I assume the risk and agree that the Pittsburgh Youth Ballet School, Pittsburgh Youth Ballet Company, Board of Directors, Faculty, and any of the chaperones and agents shall not be liable in any way for any injuries sustained or loss of property during attendance at the school or any of its related functions.” My child has permission to be treated for emergency medical care.

*We need a photocopy of your insurance card, both sides please.

______

Signature of Parent or Guardian Witnessed by

______

Medical Insurance Agreement Number

______

Family Physician & Phone Number Allergies & prescriptions

Pittsburgh Youth Ballet Media Release Form

I give my permission for photographs or television footage that includes my child to be used for promotional purposes on television, or in newspapers, magazine or any other media.

______

Signature of Parent or Guardian Date

“Celebrating 25 Years” Spring Byham Theater - NYCB’s Daniel Ulbricht

Contact us at:

Email ∙ Web Site: www.pybco.com

St. Petersburg Center 210 Valley Brook Road, McMurray, PA, 15317

Phone: 724. 969.6000 · FAX 724. 969.9600