[[[["field1","equal_to","Yes"]],[["show_fields","field4"],["show_fields","field2,field3,field5,field6,field46,field56"]],"and"],[[["field15","equal_to","No"]],[["show_fields","field16,field42"],["hide_fields","field58,field1,field4,field2,field3,field5,field6,field7,field8,field13,field11,field65,field9,field10,field66,field64,field68,field20,field36,field21,field24,field35,field25,field23,field26,field49,field59,field60,field69,field47,field51,field50,field52,field53,field48,field54,field70,field43,field62,field61,field63,field57,field55,field45,field56,field46,field71,field27,field44,field29,field30,field37,field31,field33,field32,field34,field73,field74,field75,field67,field76,field77"]],"and"],[[["field21","contains","No"]],[["show_fields","field23"],["hide_fields","field24,field35,field25,field26,field49,field58,field15,field60,field69,field47,field51,field50,field52,field53,field48,field54,field70,field43,field62,field61,field63,field57,field55,field45,field56,field46,field71,field27,field44,field29,field30,field37,field31,field33,field32,field34,field75,field36,field74,field77,field78"]],"or"],[[["field20","equal_to","Dance Studies Program"],["field20","equal_to","3-month IND Program"],["field20","equal_to","6-month IND Program"]],[["show_fields","field35,field59,field60,field47,field50,field27"],["hide_fields","field52,field53,field48,field54"]],"or"],[[["field20","contains","Certificate Program (Ballet\/Contemporary Track)"],["field20","contains","Certificate Program (Commercial Dance Track)"]],[["email_to",null,"certificateprogram@peridance.com"],["show_fields","field21"],["show_fields","field74,field75,field36,field27"]],"or"],[[["field20","equal_to","Intensive Semester (Ballet\/Contemporary)"],["field20","equal_to","Intensive Semester (Urban Styles)"]],[["show_fields","field24,field51,field59,field60,field47,field50,field27"],["email_to",null,"intensivesemester@peridance.com"],["hide_fields","field74,field75,field36,field52,field53,field48,field54"]],"or"],[[["field25","equal_to","Yes"]],[["show_fields","field26,field49,field78"]],"and"],[[["field53","equal_to","Yes"]],[["show_fields","field48"]],"and"],[[["field53","equal_to","No"]],[["show_fields","field54"]],"and"],[[["field29","equal_to","0.031"]],[["show_fields","field31"]],"and"],[[["field29","equal_to","Wire Transfer (+$15 wire transfer fee)"]],[["show_fields","field30"]],"and"],[[["field29","equal_to","Check or Cash"]],[["show_fields","field37"]],"and"],[[["field74","equal_to","in person?"]],[["show_fields","field75,field47,field51,field50,field52,field53,field48,field54"]],"and"],[[["field74","contains","by video?"]],[["hide_fields","field75,field47,field51,field50,field52,field53,field48,field54,field69"]],"and"],[[["field21","equal_to","Yes"]],[["show_fields","field74,field36,field25"]],"and"]]
1 General Infomation
Peridance Program Registration Form

General Information

Are you a U.S. Citizen / Resident?

This form is the application form for domestic students. Please Click HERE  for the international student application form.

Are you under the age of 18?
For applicants below 18 years, a Parent/ Guardian will be required.

Choose your program

Have you been accepted into the Certificate Program?

Sorry! You must be accepted into the Certificate Program. 

All prospective students are required to audition in person or by video Click HERE to apply for the audition.

Did you attend our audition
Start date
Desired start date
What is your current area of focus?
What is your level of training?


Have you received a scholarship?

Scholarship Agreement Download for Certificate Students

Review the scholarship agreement and sign it, confirming that you understand its contents. 

Send the signed scholarship agreement to Nikki Holck, certificateprogram@peridance.com

Deadline: July 15th, 2019

Upload documentation

Did you graduate from high school or equivalent?

Waiver, Release, Policy

Please carefully read the Liability Waiver, Media Release and Refund/Cancellation Policy below and sign. If you are under 18, your parent or legal guardian must sign as well. 

Media Release

I hereby give my consent to Peridance Capezio Center to use my name and any form of dance-related media acquired during my study (video, photography, voice, etc.) for publication, advertising, marketing, promotional campaigns, etc. I understand that I will not be compensated by Peridance or a third party should Peridance decide to use these materials.

Liability Waiver

I am participating in Peridance’s training program and understand that dance training comes with a risk of injury. I also understand I cannot hold Peridance Capezio Center or any member of its staff liable for any injuries that may occur as a direct result of participating in dance classes, rehearsals, seminars, activities, etc.

Refund/Cancellation Policy

Intensive Semester and PLUNGE Performance-Based Seminar and IND program 

Students who withdraw more than 6 weeks prior to the start date of the Program will receive a full refund (minus 3% credit card, the registration fee of $50.00 and the deposit of $300). No refund will be given for participant’s choosing to withdraw from the program after the start-date for moneys paid. Should a participant choose to withdraw after the start-date, a credit will be added to the account to be used for classes in the Open Class Schedule for up to twelve (12) months from the withdrawal date. the registration fee of $50.00 and the deposit of $300 are non-refundable. In the case a refund is due, a payment will be made by check ONLY and will be addressed to the original party that made the initial payment.

Dance Studies Program and Certificate Program

Students who withdraw more than 6 weeks prior to the start date of the Program will receive a full refund (minus 3% credit card, the registration fee of $50.00 and the deposit of $300). Students who withdraw less than 6 weeks prior to the start date of the Program or during the first 30 days of the Program will be eligible to transfer to Peridance's Open Program (OP) and must comply with the OP's Schedule, Rules and Regulations, etc. Should a student decline transfer to the OP, 50% of tuition will be refunded within 30 days of the official withdrawal date (minus 3% credit card, the registration fee of $50.00 and the deposit of $300). Students who withdraw after the first 30 days of the Program will not be eligible to receive any refund.

Student's SignatureI agree to the terms and conditions
(Sign Here)
Clear Signature
Parent/Guardian's SignatureI agree to the terms and conditions
(Sign Here)
Clear Signature


Registration fee $50.00 + Tuition Deposit $300.00

Total: $350.00 (non-refundable)

Payment method (Debit/Credit Card Only)

Wire Transfer

Payment should be paid in 3 days.

Account Name: Peridance Center LLC 

Account No: 4984525413 

Bank Name: Citibank, N.A. 

Swift Code: CITI US 33 

Bank Address: 52 East 14th Street, New York, NY 10003-4140 USA 

Routing No: 0210-0008-9 

*Applicant name must be included in the memorandum for all wire transfers, or may be subject to delays.

Check or Cash 

Payment should be paid in 3 days.

- All checks and money orders must be made out to “Peridance.” Include applicant full name in the memorandum. 

- Send a check to Peridance Capezio Center Attn: Your program name, 126 East 13th Street New York, NY 10003.

- Do not mail cash. Cash option for applicants that wish to pay in person while in the United States at the time of application.

$ [field44*field29+field44]
Stripe Card Placeholder

*By clicking Submit Form, you are agreeing to the Terms and Conditions

Contact us anytime with questions at applications@peridance.com or 212-505-0886.