Program Student Registration

Peridance Program Registration Form
Are you a U.S. citizen or 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 under 18, a Parent/Guardian is required to submit this form. *

Parent/Guardian Information

Applicant Information

Address *
Address
City
State/Province
Zip/Postal

Choose your Program

Have you been accepted in the Certificate Program? *

Sorry! You first 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? *
Did you graduate from high school or equivalent? *

Scholarship

Did you receive a scholarship? *
Please upload your scholarship reward/letter. *
Maximum upload size: 16MB
jpg, jpeg, png & pdf only. 16mb limit.

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

Academic & Dance Resumes *
Maximum upload size: 16MB
Letter of Intention *
Maximum upload size: 16MB
Two Letters of Recommendation *
Maximum upload size: 16MB
Proof of completion of HIgh School or Equivalency *
Maximum upload size: 16MB

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 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 Program starts will not be eligible to receive any refund.

Payment

Registration fee ($50.00) + Tuition Deposit ($300.00). Total: $350.00 (non-refundable)
$
Registration Fee and Deposit
Credit card fee: 2.5%
$
Credit Card *
*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.

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