If you will be a NEW 3D Jazz Member, you MUST audition on Sunday, September 27th. Times and groups TBD.
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
What is your student's email address? (Write N/A if non-applicable )*
What is your parent email address?*
Current CBC Jazz Class*
Current CBC Ballet Class*
Please list any prior dance experience.*
Are you a member of Cary Ballet Company; Yes OR No?*
Are you in either PTP or Studio I/II; yes or no? If so, which one?*
Are you available on Sundays to rehearse; Yes OR No?*
Additional Information:
Other Questions/Comments:
Credit Card Verification:
Card Number: *  
Name as it appears on card: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*