2025 Summer Elementary Program Enrollment Application

June 30 – August 1 • Ages 3-10
JMBT • 400 Harvard Street, Cambridge

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Student InformationStep 1 of 4

Student Information

Student Name
Select One:
Date of Birth
Students must be age 3 and above by 6/30/25
Optional
If applicable
Home Address
If applicable

Parent/Guardian I Information

Parent/Guardian Name
Email
Address
Would you be interested in volunteering with José Mateo Ballet Theatre?

Parent/Guardian II Information

Parent/Guardian Name
Email
Address
Would you be interested in volunteering with José Mateo Ballet Theatre?

Emergency Contact Information

All students must submit an Emergency Contact person who is NOT their direct parent/guardian.
Emergency Contact Name

ADDITIONAL INFORMATION

How did you hear about José Mateo Ballet Theatre?