On-Line Registration Form
Please fill out this form and you will receive an confirmation Email.
The Academy of Ballet will contact you with Tuition totals and to answer and questions.
* = required fields
Click here if you are registering for Dance Camp 09
Dance Camp Registration fee is $50.00
This information is confidential and for Academy use only and will not be shared or sold to any other organization
*Parent/Guardian
*Address 1
Address 2
*City
*State
*Zip Code
*Email Address
*Phone Number
Home
Cell
*Emergency Contact
Name
Phone
Student 1 Name:
Age:
Date of Birth (mm/dd/yyyy):
Class(es) attending:
reg fee $35.00 + tuition:
Student 2 Name:
Age:
Date of Birth (mm/dd/yyyy):
Class(es) attending:
reg fee $15.00 + tuition:
Student 3 Name:
Age:
Date of Birth (mm/dd/yyyy):
Class(es) attending:
reg fee $0.00 + tuition:
More Information or Questions:
this information is confidential and for Academy use only and will not be shared or sold to any other organization
*
I have read the tuition schedule and accept my responsibility for payment. I understand that my child will be participating in an active program and accept the risks involved.
*