Academy of Ballet

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Registration

To register, please take the time to fill out the information below.

Fall Classes begin October 5th, 2020.

This must be submitted before starting classes.

Select a date

Students First Name

Students Last Name

Fathers First and Last name

Mothers First and Last name

Email

Phone

Students Birthday

Address

Emergency Contact Name

Phone

Previous dance training if yes, how many years?

List any physical limitations or disabilities that would be affected by dance exercise

I am registering for which class(es) **If you have not talked to the Artistic Director (Bethany) about class assignment, please do so before registering*