Princeton Ballet School Online Registration

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If you completed this form for another PBS class, please register for additional classes via your account: https://app.jackrabbitclass.com/jr3.0/ParentPortal/Login?orgID=540013. A parent/guardian must complete this form unless the student is 18+. A credit card is required. Please contact princetonballetschool@arballet.org or (609) 921-7758 with questions. International students: Please use NJ and 00000 in the state/zip fields. Enter your correct international address in the Comments.

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Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (not Contact #1 or #2). Example: John Doe - (555) 555-5555*

Interested in volunteering?

I would like to donate:

Country (if international)

Contact #1

Parent/Guardian #1 First Name*

Last Name *

Relationship to Student*

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer

Employer Phone

Employer Notes

Contact #2

Parent/Guardian #2 First Name

Last Name

Relationship to Student

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Academic School*

Academic Grade Level 2023-2024*

Any physical/emotional characteristics the teacher needs to be aware of?

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Height (inches)*

Number of years on pointe*

Anything else we should know?

Current/Previous dance school*

If you are an international student, please enter your correct international address and phone number in the Comments box below.

If you have a promo code, please enter it in the Comments box below.

Please contact princetonballetschool@arballet.org or (609) 921-7758 with any questions.

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Academic School*

Academic Grade Level 2023-2024*

Any physical/emotional characteristics the teacher needs to be aware of?

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Height (inches)*

Number of years on pointe*

Anything else we should know?

Current/Previous dance school*

If you are an international student, please enter your correct international address and phone number in the Comments box below.

If you have a promo code, please enter it in the Comments box below.

Please contact princetonballetschool@arballet.org or (609) 921-7758 with any questions.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Academic School*

Academic Grade Level 2023-2024*

Any physical/emotional characteristics the teacher needs to be aware of?

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Height (inches)*

Number of years on pointe*

Anything else we should know?

Current/Previous dance school*

If you are an international student, please enter your correct international address and phone number in the Comments box below.

If you have a promo code, please enter it in the Comments box below.

Please contact princetonballetschool@arballet.org or (609) 921-7758 with any questions.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Academic School*

Academic Grade Level 2023-2024*

Any physical/emotional characteristics the teacher needs to be aware of?

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Height (inches)*

Number of years on pointe*

Anything else we should know?

Current/Previous dance school*

If you are an international student, please enter your correct international address and phone number in the Comments box below.

If you have a promo code, please enter it in the Comments box below.

Please contact princetonballetschool@arballet.org or (609) 921-7758 with any questions.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size*

Academic School*

Academic Grade Level 2023-2024*

Any physical/emotional characteristics the teacher needs to be aware of?

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Height (inches)*

Number of years on pointe*

Anything else we should know?

Current/Previous dance school*

If you are an international student, please enter your correct international address and phone number in the Comments box below.

If you have a promo code, please enter it in the Comments box below.

Please contact princetonballetschool@arballet.org or (609) 921-7758 with any questions.

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Account Information

Tuition Payment Option*

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*

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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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