East Tennessee Ballet Academy 2020-2021
Please fill out a separate form for each child enrolling.
Date of Registration
Name of Student
Students Date of Birth
Students age 8/1/20
Emergency contact name and phone number
Please let us know where your child will be going to school and the grade entering August 2020.
Are there allergies we need to be aware of regarding this student?
Does student have previous injuries we need to be aware of?
Has your child had previous dance experience? Name of school, style of dance (Ballet, Tap etc.) and number of classes per week?
Is this student on pointe? How long has she been on pointe?
Please let us know the classes you are registering.
Musical Theater - Wednesdays 6:00-8:00 (8 weeks $150.00)
Intermediate Tap ll - Wednesdays 5:00-5:45 $45.00 monthly
Beginning Tap l, Wednesday 5:00-5:30. $35.00 monthly
Tap & Rhythm (3,4yrs) Wednesday 5:30-6:00. $35.00 monthly
Jazz ll - Wednesday 4:15-5:00 $45.00 monthly
Storybook Ballet (3-4yrs) Thursday 5:15-5:45. $35.00 monthly
Pre Ballet (app. 5-7yrs) Thursday 4:00-5:00. $60.00 monthly
Creative Movement, Thursday's 5:15-6:00 $45.00 monthly
Contemporary Dance, Thursday 6:00-7:00. $60.00 monthly
1A/1B - Beginning Ballet Technique (7+ yrs) Monday 4:30-5:30
1A/1B - Beginning Ballet Technique (7+ yrs) Thursday 4:00-5:00
2A/2B - Intermediate Beginning Ballet(2 ballet classes wkly) Tuesday & Thursday 4:00-5:15, $120.00 monthly
Level 3, Intermediate Ballet (2 ballet classes wkly) Tuesday & Thursday 4:00-5:15
Level 3, Intermediate Ballet (3 ballet classes wkly) Add Monday, 5:30-7:00
4/5, Advanced Intermediate Ballet (2 Ballet classes wkly)Tuesday 5:30-7 & Thursday 4-5:30
4/5, Advanced Intermediate Ballet, Monday & Tuesday 5:30-7:00, Thursday 4-5:30
4/5 Pointe - Tuesday 7:00-7:30, Thursday 5:30-6:00
6/7 - Meets 3 - 4 classes Ballet classes wkly (Choose Days/Times Below)
6/7 Monday 5:30-7:00
6/7 Tuesday 5:30-7:00 (Pointe follows)
6/7 Wednesday (call for times)
6/7 Thursday 4:00-5:30. (Pointe follows)
6/7 Friday 4:00-5:30
Variations - Day and Time TBA
After submitting this form you will receive an invoice via email and will be able to pay the balance due online. How would you like to pay?
Automatic Draft Monthly
The East Tennessee Youth Ballet is the performing company of East Tennessee Ballet Academy. While students are welcome to perform in ETBA's annual Nutcracker and the End of Year 'Academy Gala', your dancer may want to consider joining the Youth Ballet. Information about the East Tennessee Youth Ballet can be found at
Yes, my child would like to audition for the East Tennessee Youth Ballet.
No, my child is not interested in the Youth Ballet at this time.
I would like more information about the Youth Ballet.
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