Cleveland Ballet Conservatory Online Registration

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Welcome to Cleveland Ballet Conservatory's 2022-2023 Dance Season! Registration is NOW OPEN and classes begin on Monday, August 22nd.

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Student #1

Student's First Name*

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Additional Info

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School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

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Primary Doctor*

Immunization Notes*

Please select your class by age group or specific teacher recommendation. We are happy to answer any questions via email or phone call. info@cbcballet.com 440-230-0751

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Student #2 (Show-Hide Details)

Student's First Name*

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Additional Info

T-Shirt Size*

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications*

Primary Doctor*

Immunization Notes*

Please select your class by age group or specific teacher recommendation. We are happy to answer any questions via email or phone call. info@cbcballet.com 440-230-0751

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

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Student Gender*

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Additional Info

T-Shirt Size*

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications*

Primary Doctor*

Immunization Notes*

Please select your class by age group or specific teacher recommendation. We are happy to answer any questions via email or phone call. info@cbcballet.com 440-230-0751

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

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Student Gender*

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Additional Info

T-Shirt Size*

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications*

Primary Doctor*

Immunization Notes*

Please select your class by age group or specific teacher recommendation. We are happy to answer any questions via email or phone call. info@cbcballet.com 440-230-0751

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

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Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size*

School*

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications*

Primary Doctor*

Immunization Notes*

Please select your class by age group or specific teacher recommendation. We are happy to answer any questions via email or phone call. info@cbcballet.com 440-230-0751

Enroll in Classes

Select Class

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Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

Student #1

Additional Info

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