We are thrilled you would like to continue your training at Cary Ballet Conservatory for Fall 2023!
This application is for current CBC students only. Ages 11 - 14
You will be notified via email of your acceptance.
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
Age at September 5, 2023:*
Current CBC Ballet classes:*
Summer Intensive attended 2022:*
Summer Intensive planning to attend 2023:*
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:*