Angelina Ballerina Registration Form 2026

Angelina Ballerina Camp 2026 Registration Form
July 7th-30th 2026

Every Tuesday and Thursday starting July 7th.

Last class is Thursday, July 30th.

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Camp Tuition - $135.00 Per Child.

Total of 8 Classes during July:

7/7, 7/9, 7/14, 7/16, 7/21, 7/23, 7/28, 7/30

10:00am-11:00am - 3-4 year olds.

11:00am-12:00pm - 5-6 year olds.

Please fill out one form for each child.

If you wish to register for the full school year, please see the front desk to fill out a 26-27 form
Parent/Guardian Name*

First NameLast Name
Child's Name*

First NameLast Name
Child's Age*
Child's Birthdate*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Primary Contact Email*
example@example.com
Billing Contact Name - Responsible for Payment*

First NameLast Name
Billing Contact Email*
example@example.com
You will be invoiced at the billing email provided asap upon submission of this registration form. Thank you!
Please Enter any additional information our instructors/staff should be aware of (Dancer Allergies/injuries, Additional Contact Info, Additional Billing Info):
YesNo
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.
YesNo
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*
Should be Empty:

Angelina Ballerina Camp 2026 Registration Form