Registration

If student is not currently taking ballet classes or has under two years of training, please do not continue and contact school@bayareabc.com.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)*

Students entered below will be added to your family's account

Questions/Options:


Choose weeks (select one or both): Week 1: July 22 - 26	(checked=yes)
Choose weeks (select one or both): Week 2: July 29 - August 3	(checked=yes)
How did you hear about our program?
Current or most recent ballet school: (include name, city, state, level in school, and number of BALLET classes taken per week, as well as number of pointe classes taken per week, if applicable)
Please list any recent or current athletic injuries or medical conditions

Additional Information:

Application Photo Requirement

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Program Rates

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Payment and Refund Policy

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Enter your Full Name: