Ballet Fantastique Online Registration

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Welcome to Ballet Fantastique! If space is available, you may enroll at any time. Please provide your information below to get to the confirmation screen. NOTE: Payment details are required to register, but if you prefer to pay by cash/check, let us know in the comments box. Enrollment in our more advanced Training/Conservatory Divisions is by Audition/Placement Class only. Please contact us (academy@balletfantastique.org) to schedule your placement so that we can assess your best course fit!

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Referral Information

How did you hear about us?*

Referral Name*

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone *

Work #

Cell #

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Ballet Fantastique. Standard message and data rates apply. Reply STOP to opt out

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer

Employer Phone

Employer Notes

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Ballet Fantastique. Standard message and data rates apply. Reply STOP to opt out

Email (Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

See below to enter the pronoun your student uses (they, she, he, etc.)*

Birth Date*

Additional Info

Student Email (helpful for older students for rehearsal updates)

School*

Grade Level

Special Needs (Leave blank if NONE)

Allergies (if none, write "none")*

Dietary Restrictions*

Leotard Size*

Ethnicity

Gender Pronoun Student Uses

If you have any issues with registrating, please email billing@balletfantastique.org. Please note: Ballet Fantastique is an equal opportunity institution deeply committed to cultural diversity. A 501(c)(3) nonprofit organization, we do not discriminate on the basis of race, color, or national/ethnic origin.

Your participation in this survey will provide the data necessary to help us paint the most accurate picture of our community as we apply for the grants that Ballet Fantastique depends on as a nonprofit organization for the coming year. Thank you!

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Student's First Name*

Last Name*

See below to enter the pronoun your student uses (they, she, he, etc.)*

Birth Date*

Additional Info

Student Email (helpful for older students for rehearsal updates)

School*

Grade Level

Special Needs (Leave blank if NONE)

Allergies (if none, write "none")*

Dietary Restrictions*

Leotard Size*

Ethnicity

Gender Pronoun Student Uses

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

See below to enter the pronoun your student uses (they, she, he, etc.)*

Birth Date*

Additional Info

Student Email (helpful for older students for rehearsal updates)

School*

Grade Level

Special Needs (Leave blank if NONE)

Allergies (if none, write "none")*

Dietary Restrictions*

Leotard Size*

Ethnicity

Gender Pronoun Student Uses

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Select Class *

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Student's First Name*

Last Name*

See below to enter the pronoun your student uses (they, she, he, etc.)*

Birth Date*

Additional Info

Student Email (helpful for older students for rehearsal updates)

School*

Grade Level

Special Needs (Leave blank if NONE)

Allergies (if none, write "none")*

Dietary Restrictions*

Leotard Size*

Ethnicity

Gender Pronoun Student Uses

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

See below to enter the pronoun your student uses (they, she, he, etc.)*

Birth Date*

Additional Info

Student Email (helpful for older students for rehearsal updates)

School*

Grade Level

Special Needs (Leave blank if NONE)

Allergies (if none, write "none")*

Dietary Restrictions*

Leotard Size*

Ethnicity

Gender Pronoun Student Uses

Enroll in Classes

Select Class *

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Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

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Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

Student #1

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