Class Registration

Ballet Class Registration Form
Parent/Guardian *

First NameLast Name
Email*
example@example.com
Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact*

First NameLast Name
Emergency Contact #*
Please enter a valid phone number.Format: (000) 000-0000.
Student Info*

NameAge
Years of previous dance experience (if any)
Twinkle Toes (3-4 yrs) Mon 9:00-9:30amPetit Pas (5-7 yrs) Mon 9:40-10:25amPirouettes (8-12 yrs) Mon 10:35-11:35amBallet I* (Intermediate) Tues 10:30-11:30 am
*Ballet I & II class options are based on skill level more than age
Single Student Registration ($25)Family Registration ($40)
Registration Fee (due at registration)
prevnext( X )
Registration Fee -Single student
New student registration fee.

$25.00

Registration Fee -Family
(check if more than one child in your family is registering)

$40.00

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

Ballet Class Registration Form