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ADULT BALLET DROP-IN FORM
PARTICIPANT INFORMATION
Name
*
First Name
Last Name
DOB
*
-
Month
-
Day
Year
Date
CONTACT INFORMATION
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Emergency Contact - Name and Phone Number
*
How did you hear about us?
*
Social Media
A friend
Walk in
Other
ADULT DROP-IN CLASS ATTENDING
I would like to attend:
*
Adult Ballet - Beginner Class [TUE 6:30-7:30 PM]
Adult Ballet - Beginner Plus Class [THU 12:00-1:00 PM]
Adult Ballet - Advanced Beginner Class [WED 6:30-7:45 PM]
*
Adult Ballet Drop-In Rates:
Beginner Class – $20
Beginner Plus Class – $20
Advanced Beginner & Intermediate Class – $25
Please come in 10-15 minutes early to settle your drop-in class payment at the Front Desk.
RELEASE AND PHOTO WAIVERS
Participation Release Agreement:
Photo Release:
Name
*
First Name
Last Name
Today's Date
*
/
Month
/
Day
Year
Date
Your Signature
*
Submit
Should be Empty: