2019-2020 Upper School Enrollment Form Levels 3-6 and Teen FLEX and Adult
Please enter enrollment information and answer the following questions.
Student Name (Please Complete & Submit Separately for EACH dance student in your family) *
Your answer
Student Birthday *
MM
/
DD
/
YYYY
Student Address *
Your answer
Email for communication *
Your answer
Mother or Primary Contact for Student - Name, Relationship to Student, and Best Phone Number *
Your answer
Father or Secondary Contact for Student - Name, Relationship to Student, and Best Phone Number *
Your answer
Name of Academic School Attending or Homeschool *
Your answer
Grade as of September 2019 *
Medical Alert or Special Needs
Your answer
What is the goal/reason your dancer takes classes? (check one or more)
Other reason(s) for taking classes or goals?
Your answer
Do you have any special class requests?
Your answer
What is the Arts Ballet Program that best fits you/your student? Please choose one: *
Required
Registration Fee:
Registration Fee:
1st child $50, Family $70
Adult and College Student Administration Fee $25
Choose one: *
Select Tuition Payment Option Sept - May (may be changed any time) *
Do you have professional or personal skills that you are willing to share with the studio? We will only contact you if we have a need and are looking for volunteers or assistance. Examples; maintenance, event organization, finance, business, artistic skills, etc.
Your answer
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