Application form for Viva Flamenco
(Call Mara Maldonado, Ballet Español Director, at 245-0682, before sending your application)
School:___________________________________ Date: (circle one) 2/12 or 2/17
Time (check one): 10:00am Middle/High _______ or 11:45am Elementary _______
Teacher or Contact Person:_______________________________ Phone:_______________________
Number of Students:_________Number of Chaperones:________
Total Amount enclosed: $____________Please make check payable and send to:
Ballet Español
P.O. Box 43878,
Louisville, KY 40243