New Students Form

Parent's Name*

First NameLast Name

Your Child's Birth Date*

MonthDayYear

Gender*

Your Child's Age

years old

Parent's E-mail*

example@example.com

Phone Number*

Format: (000) 000-0000.

City you live in:

Street Address

Street Address Line 2

Name of CityState / Province

Postal / Zip Code

Please choose your child's current level.*

This is the FIRST TIME she/he wants to start!1 - 3 months ballet and recreational dance in the past, and wants to start!3 - 12 months training. Basic / Beginner level.1 - 3 years training. Basic / Intermediate level.3 - 5 years training. Intermediate level.over 5 years training. Intermediate / advanced level.Semi-professional / professional

Please choose all that applies to your child's interests and goals.*

Improve flexibility, strength, turns, and jumpsGain high self-esteem and confidenceLearn techniques, artistic ability, grace, poise and expressionBecome semi-professional and professional dancerParticipate in competitions and talent shows.Perform on stageDance en Pointe (Toe shoes)

How many days a week of training are you looking for?*

Once a week1 - 2 days a week3 - 5 days a weekEvery other week or month

What time and days a week of training are you looking for?*

WeekdaysMorning on weekendsAfternoon on weekends

Do you want to come to a FREE Trial class?*

YesNo

How did you find out about us?*

Internet searchReferralOther

Please feel free to let us know if you have any questions.

My child loves ballet and dances at home. We want to get more information about your training.

Consent: Please read, check the box, and sign.

Considering participation in the Classical Ballet Theatre Academy, we respectfully ask Ballet Students and their Parents/Guardians to acknowledge and release the Academy from any liability associated with involvement in classes, workshops, and performances. By signing below, you confirm your understanding and acceptance of this agreement. We also encourage all participants to adhere to CDC guidelines for safety as we work together to foster a safe and supportive environment.

Signature

Please verify that you are human*