Summer School Registration
PLEASE NOTE: OUR GRADE 3/4 PROGRAM IS NOW FULL. IF YOU WOULD LIKE TO BE PLACED ON THE WAITLIST, SUBMIT A FORM BELOW.
Previous Level of Ballet Study
Indicate the previous level of ballet training your child has acquired. Note: Pacific Dance Centre reserves the right to adjust a child's class placement after the first class.
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Contact Information
Name of Student *
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Age *
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Birthdate (MM/DD/YY) *
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Parent(s) Name(s) *
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Phone Number *
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Phone Number (alternate)
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Email *
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Email (alternate)
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