NEW Student Registration Form Year 25/26

Please fill out the form carefully for student registration. If you have any questions, please email us at kingsportballet@gmail.com

Registration Fee: $40.00 for first student

$45.00 for 2 or more students

Student Name

First NameMiddle NameLast Name

Birth Date

MonthDayYear

Gender

Years of Study

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail for School Communications

example@example.com

E-mail for School Communications #2

example@example.com

Parent or Guardian Name #1

First NameLast Name

Parent or Guardian Name #2

First NameLast Name

NAME OF PERSON RESPONSIBLE FOR TUITION AND REGISTRATION PAYMENTS

First NameLast Name

E-mail for TUITION INVOICING

example@example.com

Phone # Number for Student Inquiries

Format: (000) 000-0000.

An invoice for the registration fee will be sent to the billing email ASAP after the registration form is submitted.

Best Phone # for Emergency Contact (in case of illness who do we contact)

Format: (000) 000-0000.

Other Phone #

Format: (000) 000-0000.

If you are unsure of your child's class level for the 25/26 school year, please reach out to us.

R denotes RECREATIONAL TRACK classes.

Classes are offered in Johnson City at Soluna Sage on Wednesdays for levels DM3/4, Prep I/II, BI, and BIIA.

Class Level - Fall 2025/Spring 2026

Please select which DM class the student will attend.

Please select which Prep class the student will attend.

Please indicate if you wish to enroll your student in Little Contemporary/Jazz class for Prep level students on Saturdays 11:00am - 12:00pm (CLASS HELD AT KINGSPORT LOCATION)

Please select which BI class the student will attend.

Please select which BIIA class the student will attend.

Please select which BIIB level classes the student will attend.

Please indicate if you wish to enroll your student in Contemporary/Jazz for BI/BII class on Thursdays 6:30-7:30pm (CLASS HELD AT KINGSPORT LOCATION)

BIIIA Class Schedule:

Mondays 4:30-5:45pm
Tuesdays 4:30-5:45pm
Thursdays 4:15-5:30pm

BIIIB Class Schedule:

Mondays 4:30-5:45pm
Tuesdays 4:30-5:45pm
Thursdays 4:15-5:30pm

Please select what level the student was placed in.

Please select which BIIIA level class(es) the student will attend as BIIIR.

Please select which BIIIB level class(es) the student will attend as BIIIR.

Please indicate if you wish to enroll your student in Contemporary III class on Mondays 6:00-7:00pm

BIIID + BIVA/B/C Class Schedule:

Mondays 4:30-6:00pm
Tuesdays 4:30-6:00pm
Wednesdays 4:30-6:00pm
Fridays 4:30-6:30pm
Saturday Company Class 11:00am-12:00pm

Please select which BIV level class(es) the student will attend as BIVR.

Please indicate if you wish to enroll your student in Contemporary IV class on Tuesdays 6:00-7:00pm

BV/VI Class Schedule:

Mondays 6:00-7:30pm
Mondays 7:30-8:30pm (Contemporary)
Tuesdays 6:00-7:30pm
Wednesdays 6:00-7:30pm
Thursdays 6:00-7:30pm
Fridays 4:30-6:30pm

Please select which BV/VI level class(es) the student will attend as BV/VI R.

BIIB Number of classes calculation

BIIIR (A) Number of classes calculation

BIIIR (B) Number of classes calculation

BIVR Number of classes calculation

BVIV R Number of classes calculation

Starting August 2024, a $50.00 monthly company fee will be assesed to offset the cost of staff required for Saturday Classes and rehearsals. This fee is added to the total tuition cost shown below.

Monthly Tuition Cost

For families enrolling 2 or more students, your total monthly tuition may be different than shown above. Please refer to the bottom of the tuition schedule for more information.

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.

PHOTO/VIDEO RELEASE - Do you consent to allowing photos or video of this student be used in our promotions, program books, or website/social media posts?

Please Enter any additional information our instructors/staff should be aware of (Dancer Allergies/injuries/Disabilities, Additional Contact Info, Additional Billing Info):

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

Please select which BIV level class(es) the student will attend.

Student Registration Form - Fall/Spring 2025/2026