Application for the Jillana School Summer 2008
Last Name___________________________________ First________________________ Middle Initial______
Address__________________________________________________________________________________
City__________________________________________ State_______ Zip_____________________________
Home Phone (________)______________________ Email address __________________________________
Age _____ Birthday _______/______ /______ Height ____/___ Weight________ (circle) Male Female
Consecutive years of ballet training______ Years on pointe______
Applicant lives with: (circle) Father Mother Stepfather Stepmother Other
Current Ballet School _________________________________________________________________________
Previously attended the Jillana School (circle) Yes No Year? ____
How did you hear about the Jillana School? ________________________________________________________
FEE SCHEDULE: tuition includes all classes, room, and board.
All
monies are non-refundable.
I understand and will be responsible for the payment schedule. Make
checks payable to the Jillana School (sorry
no credit cards)
Responsible Party Signature ______________________________________________ Date_____/______/____
Applicant Signature ______________________________________________________Date_____/______/____
Application must include:
Send
to: Jillana, 3406 Park West Lane, San Diego, CA 92117
Phone/fax: 858-270-8248
email:
jillana@jillanaschool.com Web site: www.jillanaschool.com