Born to Move 12 - 14 Year Olds

Born to Move: Dance for Youth Well-being is a no-cost dance program administerd by Westchester Ballet Company.

Summer classes for 12 - 14 year olds are held on Tuesdays and Thursday, 4:45 - 6:00 pm, June 9 - July 30, 2026 at Westchester Ballet Company, 81 Croton Avenue, 3rd Floor, Ossining.

Dancers can sign up for multiple classes per week.

By enrolling, families are committing to consistent participation in the program. Students are expected to maintain at least 75% attendance.

Dancers are required to bring their own water bottle (labled with their name) to class. No beverages, other than warer, are permitted in the dance studio.

Leotards, tights, and ballet slippers will be provided to each dancer. Parents are responsible for laundering these items. Dancers are responsible for taking proper care of their attire.

Please provide accurate height and shoe sizes in the form below. Dancers will be provided with one pair of ballet slippers. If these slippers are lost or damaged, the dancer is responsible for the cost to replace.

Contact info@westchesterballet.org with any questions.

Class size is limited.

Please fill out all required fields to register for this program.

Dancer's Full Name

First NameLast Name

Dancer's Date of Brth

Date

Dancer's Age

Select your classes. (You may sign up for more than one class a week).

Dancer's Shoe Size

Dancer's Height

Please confirm:

Child's academic school (for example, Roosevelt Elementary, First Steps, Park Elementary, etc.)

Parent/Guardian Name

First NameLast Name

Parent/Guardian Email Address

example@example.com

Parent/Guardian Cell Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Mailing Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Secondary Contact

First NameLast Name

Secondary Contact Email

example@example.com

Secondary Contact Cell Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Liability Waiver: I, the parent or guardian of the dancer, agree to release and hold harmless Westchester Ballet Company, this program, its staff, and affiliates from any liability, claims, or damages arising from participation in this program.

Media Release: I grant permission for the dancer to be photographed and filmed for program-related use, including promotional and educational materials.

Acknowledgment of Commitment: I understand that my child is committing to regular attendance from June 9 through July 30, 2026. Dancers may miss no more than three classes during this eleven-week period. Dancers missing more than 3 classes over the eleven week period will be at risk of losing their spot in the program.

81 Croton Avenue, 3rd Floor, Ossining, NY 10562
info@westchesterballet.org
(914) 941-4532

ENROLLMENT FORM 12Y-14Y