SFB Registration Form 2021-2022
Classes begin Tuesday, August 31st.
Please fill out one form per student.
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Student's Name *
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Age *
Sibling's Name if also registered
New Students Only: Student Ballet Experience
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If so, how many years and where?
If new, how did you hear about us?
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Parent/Guardian's Information (1)
Parent/Guardian's Name *
Occupation *
Relation to student *
Primary Telephone *
Primary Email (for billing and studio updates) *
Student's Home Address- Street *
Student's Home Address- City *
Student's Home Address- State *
Student's Home Address- Zip
Parent/Guardian's Information (2)
Parent/Guardian's Name
Occupation
Relation to Student
Primary Telephone
Primary Email
Emergency Contact Information
Emergency Contact Name *
Relation to student *
Primary Telephone *
Does the student have any medical condition(s), allergies, or injuries? *
If yes, please list below.
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