Academy of American Ballet Online Registration

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Adult students have different enrollment options. For $240 monthly you may attend unlimited Adult, Modern, or Pilates (not Reformer) classes, or you may enroll in a class and pay the monthly fee. A student may attend a class for a $25/$30 drop-in fee as space allows. Unless otherwise noted, tuition is listed per month.

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Referral Information

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Family Information

Family Last Name*

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Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info*

Contact #1

Contact #1 First Name*

Last Name *

Type*

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Home Phone *

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

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Portal Account Password

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Contact #2

Contact #2 First Name

Last Name

Type

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Home Phone

Work #

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Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

In the COMMENTS box at bottom, please indicate desired start date, so we can pro-rate tuition accordingly. Please note any Promotions in COMMENTS box at bottom. ONLY 1 TRIAL CLASS OFFERED PER STUDENT

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

In the COMMENTS box at bottom, please indicate desired start date, so we can pro-rate tuition accordingly. Please note any Promotions in COMMENTS box at bottom. ONLY 1 TRIAL CLASS OFFERED PER STUDENT

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

In the COMMENTS box at bottom, please indicate desired start date, so we can pro-rate tuition accordingly. Please note any Promotions in COMMENTS box at bottom. ONLY 1 TRIAL CLASS OFFERED PER STUDENT

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

In the COMMENTS box at bottom, please indicate desired start date, so we can pro-rate tuition accordingly. Please note any Promotions in COMMENTS box at bottom. ONLY 1 TRIAL CLASS OFFERED PER STUDENT

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

In the COMMENTS box at bottom, please indicate desired start date, so we can pro-rate tuition accordingly. Please note any Promotions in COMMENTS box at bottom. ONLY 1 TRIAL CLASS OFFERED PER STUDENT

Enroll in Classes

Select Class

Add Another Student

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Exp Year *

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Address Line 1

Address Line 2

City

State

Zip*

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

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Student #4 (Show-Hide Details)

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