East Tennessee Ballet Academy
Please fill out a separate form for each child enrolling.
Parent's Name *
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Address *
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Phone numbers *
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Emergency contact name and phone number *
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Email *
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Name of student enrolling *
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Age of Student 8/1/19 & Date of Birth *
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Please let us know where your child will be going to school and the grade entering August 2019. *
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Are there allergies we need to be aware of regarding this student? *
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Does student have previous injuries we need to be aware of? *
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Has your child had previous dance experience? Name of school, style of dance (Ballet, Tap etc.) and number of classes per week? *
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Is this student on pointe? How long has she been on pointe? *
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ETBA is always looking to expand offerings if there is enough demand. We would love to know the interests your child might have in dance. Please check the classes your child would be interested in attending.
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 etballetacademy.org.
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? *
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