HZ BALLET REGISTRATION FORM

1
PARENT/CAREGIVER 1
First Name
Last Name
2
CELL PHONE PARENT/CAREGIVER 1
Please enter a valid phone number.
3
PARENT/CAREGIVER 2
First Name
Last Name
4
CELL PHONE PARENT/CAREGIVER 2
Please enter a valid phone number.
5
Email
example@example.com
6
STUDENTS NAME
First Name
Last Name
7
DATE OF BIRTH
Date
Year
Month
Day
8
AGE OF STUDENTAs of September 1st 2022
9
WHAT CLASS IS STUDENT REGISTERING FOR
3yrs $88 Monthly
4/5yrs $88 Monthly
5/6yrs $88 Monthly
Primary Ballet Exam
Standard One Ballet
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 8 Intermediate
Grade 9(Adv 1)
Grade 10(Adv2)
Adult Ballet
Enrico Cecchetti Diploma
Associate
Licentiate
Private lessons with 1 or more classes.
Private lessons
10
What days/day is student registering for blanks
11
NAME SIBLING/STUDENT 2
First Name
Last Name
12
BIRTHDATE STUDENT 2
Date
Year
Month
Day
13
AGE OF STUDENT As of September 2022
14
WHAT CLASS IS STUDENT 2 REGISTERING FOR
3yrs $83 Monthly
4/5yrs $83 Monthly
5/6yrs $83 Monthly
Primary Ballet Exam
Standard One Ballet
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 8 Intermediate
Grade 9(Adv 1)
Grade 10(Adv2)
Adult Ballet
Enrico Cecchetti Diploma
Associate
Licentiate
Private lessons with 1 or more classes.
Private lessons
15
What days/day is student registering for blanks
16
NAME SIBLING/STUDENT 3
First Name
Last Name
17
DATE OF BIRTH STUDENT 3
Date
Year
Month
Day
18
AGE OF STUDENT 3
19
WHAT CLASS IS STUDENT REGISTERING FOR
3yrs $83 Monthly
4/5yrs $83 Monthly
5/6yrs $83 Monthly
Primary Ballet Exam
Standard One Ballet
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 8 Intermediate
Grade 9(Adv 1)
Grade 10(Adv2)
Enrico Cecchetti Diploma
Associate
Licentiate
Private lessons with 1 or more classes.
Private lessons
20
What days/day is student registering for blanks
21
ANYTHING YOU WOULD LIKE US TO KNOW ABOUT YOUR CHILD or CHILDREN
Huge
Large
Normal
Small
Ok
Ok
22
REGISTRATION FEE
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ORDER SUMMARY
Total costCAD
REGISTRATION FEE Valid until August 1st 2022
$65.00CADEdit
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Total cost $0.00CAD
REGISTRATION FEE
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