Inspiration Point Registration Summer 2026 - Troublemaker: Public Works

Name of Student

First

Last

Age of Student

Student's Primary Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Where is the student attending academic school?

Race of Student

This is not required, but responses help us improve our programming.

Gender of Student

Student T-Shirt Size

Has this student trained in any forms of dance before?

Has this student trained in ballet before?

Does this student have any special needs (please describe)

Does this student take any medications or have any allergies (please describe)

contact) Medical student

Parent or guardian (primary contact) name

First

Last

Parent or guardian (primary contact) phone

Parent or guardian (primary contact) email

Email

Confirm Email

Alternate adult (secondary contact) name

First

Last

Alternate adult (secondary contact) phone

Alternate adult (secondary contact) email

Email

Confirm Email

What is your preferred language for communications?

I acknowledge that this program may photograph or record activities for educational, archival, promotional, or documentary purposes.

Troublemaker: Public Works