Registration
The Holidays are coming and we know that parents need some extra time to get things done. Enjoy a parent's night out and bring your child to a fun and exciting event! Children ages 5-11 can make crafts, eat snacks, play games, hear stories, and of course DANCE! This Nutcracker themed event is a pajama party, wear your cutest and comfiest!
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:
Child's name *
Parent's name *
Parent's phone number *
Parent's email *
Child's age *
does your child attend Dayton Ballet School?*
Does your child have any food allergies?*
 
Additional Information:
 
Payment
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Assumption of risk
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Medical Emergency
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Media Release
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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:*