Ballet Center Utah, Inc. Registration Form
This form is required for your student to begin taking classes at our school. Please fill out the following information.
Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Student Age *
Your answer
Parent's Name (if student is under 18 years old)
Your answer
Street Address *
Your answer
City, State Zip *
Your answer
Best Contact Number *
Your answer
Is this a: *
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Emergency Contact Relation to Student *
Your answer
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