NEW Student Registration Form Year 24-25

Student Registration Form - Fall 24/Spring 25
Please fill out the form carefully for student registration. If you have any questions, please email us at kingsportballet@gmail.com

Registration Fee: $40.00 for first student

$45.00 for 2 or more students
Student Name*

First NameMiddle NameLast Name
Birth Date *

MonthDayYear
Gender
Years of Study
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail for School Communications*
example@example.com
E-mail for School Communications #2
example@example.com
Parent or Guardian Name #1*

First NameLast Name
Parent or Guardian Name #2

First NameLast Name
NAME OF PERSON RESPONSIBLE FOR TUITION AND REGISTRATION PAYMENTS*

First NameLast Name
E-mail for TUITION INVOICING*
example@example.com
Phone # Number for Student Inquiries*
An invoice for the registration fee will be sent to the billing email ASAP after the registration form is submitted.
Best Phone # for Emergency Contact (in case of illness who do we contact)*
Other Phone #
If you are unsure of your child's class level for the 24/25 school year, please reach out to us.

R denotes RECREATIONAL TRACK classes.

Classes are currently offered in Johnson City on Wednesdays for levels Prep, BI, and BII.
Class Level - Fall 2024/Spring 2025*
Please select which DM class the student will attend. NOTE: Our Thursday class is almost full, we now have more space in our Saturday class and Wednesday class. If you have any questions regarding class size please contact us!

Wednesdays 4:45-5:30pmThursdays 5:00-5:45pmSaturdays 10:00-10:45am
Please select which Prep class the student will attend.

Mondays 4:45-5:45pmTuesdays 4:30-5:30pmSaturdays 10:00am-11:00amJOHNSON CITY LOCATION - Wednesdays 4:45-5:45pm
Please indicate if you wish to enroll your student in Little Contemporary/Jazz class for Prep level students on Saturdays 11:00am - 12:00pm (CLASS HELD AT KINGSPORT LOCATION)*

YesNo
Please select which BI class the student will attend.

Mondays 5:45-6:45pmWednesdays 4:00-5:00pmJOHNSON CITY LOCATION - Wednesdays 6:00-7:00pm
Please select which BIIA class the student will attend.

Tuesdays 5:30-6:30pmThursdays 5:30-6:30pmJOHNSON CITY LOCATION - Wednesdays 6:00-7:00pm
Please select which BIIB level classes the student will attend.

Tuesdays 5:30-6:30pmThursdays 5:30-6:30pmJOHNSON CITY LOCATION - Wednesdays 6:00-7:00pm
Please indicate if you wish to enroll your student in Contemporary/Jazz for BI/BII class on Thursdays 6:30-7:30pm (CLASS HELD AT KINGSPORT LOCATION)*

YesNo
BIIIA Class Schedule:
- Mondays 4:30-5:45pm
- Tuesdays 4:15-5:30pm
- Thursdays 4:15-5:30pm
BIIIB/C Class Schedule:
- Mondays 4:30-5:45pm
- Tuesdays 4:30-5:45pm
- Thursdays 4:30-5:45pm
Please select what level the student was placed in.

BIIIA (New)BIIIB/C
Please select which BIIIA level class(es) the student will attend as BIIIR.

BIIIA Mondays 4:30-5:45pmBIIIA Tuesdays 4:15-5:30pmBIIIA Thursdays 4:15-5:30pm
Please select which BIIIB/C level class(es) the student will attend as BIIIR.

BIIIB/C Mondays 4:30-5:45pmBIIIB/C Tuesdays 4:30-5:45pmBIIIB/C Thursdays 4:30-5:45pm
Please indicate if you wish to enroll your student in Contemporary III class on Mondays 6:00-7:00pm*

YesNo
BIVA/B Class Schedule:
- Mondays 4:30-6:00pm
- Tuesdays 4:30-6:00pm
- Wednesdays 4:30-6:00pm
- Fridays 4:30-6:30pm
- Saturday Company Class 11:00am-12:00pm
Please select which BIV level class(es) the student will attend as BIVR.

Mondays 4:30-6:00pmTuesdays 4:30-6:00pmWednesdays 4:30-6:00pmFridays 4:30-6:30pm
Please indicate if you wish to enroll your student in Contemporary IV class on Tuesdays 6:00-7:00pm*

YesNo
BV/VI Class Schedule:
- Mondays 6:00-7:30pm
- Mondays 7:30-8:30pm (Contemporary)
- Tuesdays 6:00-7:30pm
- Wednesdays 6:00-7:30pm
- Thursdays 6:00-7:30pm
- Fridays 4:30-6:30pm
Please select which BV/VI level class(es) the student will attend as BV/VI R.

Mondays 6:00-7:30pmTuesdays 6:00-7:30pmWednesdays 6:00-7:30pmThursdays 6:00-7:30pmFridays 4:30-6:30pmCONTEMPORARY Mondays 7:30-8:30pm
BIIB Number of classes calculation
BIIIR (A) Number of classes calculation
BIIIR (B) Number of classes calculation
BIVR Number of classes calculation
BVIV R Number of classes calculation
Starting August 2024, a $50.00 monthly company fee will be assesed to offset the cost of staff required for Saturday Classes and rehearsals. This fee is added to the total tuition cost shown below.
Monthly Tuition Cost
For families enrolling 2 or more students, your total monthly tuition may be different than shown above. Please refer to the bottom of the tuition schedule for more information.
We often take candid photos of students in class or performances for use in promotions, program books, or social media posts. Any social media posts that use student images are solely used for the promotion of our school, and will be featured only in a professional, business manner.
PHOTO/VIDEO RELEASE - Do you consent to allowing photos or video of this student be used in our promotions, program books, or website/social media posts?*

YesNo
Please Enter any additional information our instructors/staff should be aware of (Dancer Allergies/injuries/Disabilities, Additional Contact Info, Additional Billing Info):
I acknowledge that I understand that participation in dance can be strenuous and challenging and could result in accidental injury. By signing below, I agree to hold harmless Kingsport Ballet and its Artistic Director, Faculty and Volunteer Staff, Board of Directors and all its contractual employees and agents in the event that my child is injured in the course of their activities and classes at Kingsport Ballet.
Signature*

Clear
Please select which BIV level class(es) the student will attend.

Mondays 4:30-6:00pmTuesdays 4:30-6:00pmWednesdays 4:30-6:00pmFridays 4:30-6:30pm
Should be Empty:

Student Registration Form - Fall 24/Spring 25