Student Registration
2025 - 2026
This registration form is for the upcoming year starting August 11, 2025. If you have any questions please call us @ 919-778-0888
Parent/Guardian Name 1
*
First Name
Last Name
Parent/Guardian Name 2
First Name
Last Name
Email
*
example@example.com
Alt Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
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State
Zip Code
Mobile Number
*
Format: (000) 000-0000.
Work Number
Format: (000) 000-0000.
Alt Number
Format: (000) 000-0000.
Emergency Contact
*
First Name
Last Name
Emergency Phone Number
*
Format: (000) 000-0000.
Returning family?
*
Yes
No
Student Name
*
First Name
Last Name
Age
Gender
Male
Female
N/A
DOB
*
-
Month
-
Day
Year
Date
Clothes Size
Student's School
Grade
Medical Conditions / Allergies
Yes
No
If Yes, please explain
Class Request 1
Pre-Dance (ages 3-4)
Ballet (ages 5-Up)
Tap (ages 5-Up)
Jazz (ages 7-Up)
Pre-Pointe(ages 7-up)
Pointe (Upon recommendation ONLY)
Modern (ages 10-Up)
Irish
Gymnastics (ages 3-Up)
Friday Ballet (ages 10-Up)
Dance for Musical Theatre (ages 7-up) (class will be divided by age)
Adult Irish
Adult Ballet
Adult Tap
need to register siblings?
Yes
No
Student Name (sibling 2)
First Name
Last Name
Age
Gender
Male
Female
N/A
DOB
-
Month
-
Day
Year
Date
Clothes Size
Student's School
Grade
Medical Conditions / Allergies
Yes
No
If Yes, please explain
Class Request 2
Pre-Dance (ages 3-4)
Ballet (ages 5-Up)
Tap (ages 5-Up)
Jazz (ages 7-Up)
Irish
Pre- Pointe (Ages 7-up)
Pointe (Upon recommendation ONLY)
Gymnastics (ages 3-Up)
Friday Intensive Ballet (ages 10-Up)
Dance for Musical Theatre (ages 7-up) (class will be divided by age)
Modern
Adult Irish
Adult Ballet
Adult Tap
Student Name (sibling 3)
First Name
Last Name
Age
Gender
Male
Female
N/A
DOB
-
Month
-
Day
Year
Date
Clothes Size
Student's School
Grade
Medical Conditions / Allergies
Yes
No
If Yes, please explain
Class Request 3
Pre-Dance (ages 3-Up)
Ballet (ages 5-Up)
Tap (ages 5-Up)
Jazz (ages 7-Up)
Pre-Pointe (ages 7-Up)
Pointe (Upon Recommendation ONLY)
Modern (ages 10-Up)
Irish
Gymnastics (ages 3-Up)
Friday Intensive Ballet (ages 10-Up)
Dance for Musical Theatre (ages 7-up) (class will be divided by age)
Adult Irish
Adult Ballet
Adult Tap
Student Name (sibling 4)
First Name
Last Name
Age
Gender
Male
Female
N/A
DOB
-
Month
-
Day
Year
Date
Clothes Size
Student's School
Grade
Medical Conditions / Allergies
Yes
No
If Yes, please explain
Class Request 4
Pre-Dance (ages 3-Up)
Ballet (ages 5-Up)
Tap (ages 5-Up)
Jazz (ages 7-Up)
Pre-Pointe (ages 7-Up)
Pointe (Upon recommendation ONLY)
Modern (ages 10-Up)
Irish
Gymnastics (ages 3-Up)
Friday Intensive Ballet (ages 10-Up)
Dance for Musical Theatre (ages 7-up) (class will be divided by age)
Adult Irish
Adult Ballet
Adult Tap
I acknowledge that I have read, understand, and accept the Goldsboro School of Ballet policies, dress code, and tuition payment options in the registration packet and have reviewed this information with the participant. Please sign below.
*
Registration Fee
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Registration Fee
$
35.00
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