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Mercyhurst University

Summer Dance Experience 2021

Ages 12-22, July 5-23, 2021

Thank you for registering for the SDE! Cost and fees are as follows:

Tuition (1 week): $525
Tuition (2 weeks): $925
Tuition (3 weeks): $1250
Chaperone fee (for students under 18 years of age at the time of the program, residential or commuter): $50 per week, due June 1
Housing in Warde Townhouses: $115 per week, due June 1
Lunch: $8.50 per day, payable at the cafeteria. (Townhouses have a full kitchen, and we will do weekly grocery shopping trips.)

For any questions, please contact Jennifer McNamara, program administrator, at jmcnamara@mercyhurst.edu.

First Name

Last Name

Birthdate

Parent First Name

Parent Last Name

Parent Email

Parent Phone Number

Are you attending for one week, two weeks, or three weeks?

One week

Two weeks

Three weeks

I will be attending the week of...

July 5-10

July 12-17

July 19-24

I will be attending the weeks of...

July 5-17

July 12-24

Will you require on-campus housing and meals or will you be commuting?

On-campus resident

Commuter

Mercyhurst student, housing only

Will you be at 18 years of age or older on the first day of your experience?

Yes

Home Dance Studio Name

Number of Years of Ballet Study

Number of Years of Modern Dance Study

Number of Years of Contemporary Dance Study

Number of Years of Pointe Study

Years/Type of Other Dance Study (Please specify)

If you have any allergies/dietary restrictions, please provide further information below.

If you have any previous/chronic injuries, please provide further information below.

If you have any other concerns or comments, please list them below.

Your total amount due is displayed below.

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Amount Due