Registration
Join us for a fun and flowy ballet class. Anyone 16 years and older is welcome! No experience necessary. Just bring your energy and get ready to move! Wear comfortable, athletic-type clothing that is easy to move in and ballet shoes. Socks ok. This 7-8pm class is $15 per person per Drop-In. Must register every time you want to come.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact (Name & Phone) other than parent*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
What is your ballet experience? Would you say you are a First-Timer, Beginner, Intermediate or Experienced dancer?*
 
Additional Information:
 
RELEASE, WAIVER OF LIABILITY, ASSUMPTION OF RISK & INDEMNIFI
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I've read the above and agree.
 
RELEASE, WAIVER OF LIABILITY, ASSUMPTION OF RISK & INDEMNIFI
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PAYMENT AUTHORIZATION
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CONSENT TO RECEIVE PROMOTIONAL EMAIL COMMUNICATIONS & TRANSA
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NAME, IMAGE AND LIKENESS RELEASE NAME, IMAGE AND LIKENESS
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PARENT / GUARDIAN WAIVER FOR MINORS (Under 18 years old)
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Authorization of Agreements
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Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*