Registration form

Contact Information
Student's Name *
Student's Name
Parent's Names *
Parent's Names
Phone Number *
Phone Number
Please provide full address Street, City, State, Zip Code
Emergency Contact *
Emergency Contact
Emergency Contact's Phone Number *
Emergency Contact's Phone Number
Classes
September-May Classes:
Workshops, Drop-ins, or Custom Classes:
Class Package:
Days you are signing up for:
Payment
balletmore LLC keeps every customer's credit/debit card on file. Monthly payments due the 1st of every month, Semester payments due 9/1/17 & 1/1/18, Full payments due 9/1/17. In cases of late payments, we will charge the card on file. Monthly payers are automatically charged on the 1st of every month. This method of accountability helps balletmore LLC ensure quality and consistency of business.
Agreements *
Waiver of Liability/Photo Release *