Application for the Jillana School Summer 2011

14th Summer

June 26 - July 23 - four week session

Pre-professional 11-17 years old

Balanchine Technique® - pointe – variations – repertory – modern – pilates – lectures

• Applications accepted on a first received basis.

• Former students may register, prior to the audition tour, without attending an audition.

• For students unable to attend an audition, auditions by video will be accepted.
  Please send a video on DVD/CD (preferred) or VHS by March 1, 2011 accompanied by a $20.00 viewing fee.
  It should consist of a short class and a classical variation in practice clothes.

• Merit scholarships will be awarded

• Former Students only : register before Jan. 15, 2011 and receive a $100 discount!!!!

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.

• Deadline for enrollment - April 1, 2011

• Due on or before - April 1, 2011 - $100.00 registration fee + $400.00 deposit, total = $500.00

• Due April 15, 2009 - $1145.00*

• Due May 15, 2011 - $1145.00* (total  $2790.00*)
  *Includes 8.5625% New Mexico General Revenue Tax

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: 

1. Completed application form with $500.00 (registration and deposit fees) by April 1, 2011.

2. Photo in first arabesque. (no larger than 5” X 7”)

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