Adult Ballet Student Registration

Adult Ballet Student Registration
All classes $13 or Punch Card: 11 classes for $130. You may pay with CC on-site or request to be invoiced by emailing: kingsportballet@gmail.com

Unlimited Class Subscription: $200.00 per month. Minimum 6 month commitment. Fee due on 1st of each month. Available Aug-May.
Please indicate the class/es of choice:*

ADULT BALLET (Either Location)ADULT CONTEMPORARY (Kpt Only)
Please indicate preferred location:*

KingsportJohnson CityBoth
Name*

First NameLast Name
Address*

Street Address

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Postal / Zip Code
Email*
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Phone Number*
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EMERGENCY CONTACT NAME*

First NameLast Name
EMERGENCY Phone Number - 1*
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EMERGENCY Phone Number - 2
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Do you have any health restrictions or injuries? Anything else we should know about you?
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