ROBERT IVEY BALLET
Home
Class Information
Schedule
Tuition
Register
Donation
About Us
Our Instructors
Contact Us
Gallery
Student Information
*
Indicates required field
Student Name
*
Date of Birth
*
Gender
*
Female
Male
When will you be joining us?
*
Option 1
Option 2
Option 3
Years of Training
*
Beginner
1-3 years
3-5 years
5-10 years
Greater than 10 years
Adult student
Level of Training
*
Current Ballet School
*
Please let us know of any medical conditions (i.e. food allergies, medications)
*
Please add any information that you would like us to know.
*
Parent Guardian Information
Parent / Guardian Name (if not an adult student)
*
First
Last
[object Object]
Emergency Contact
*
First
Last
Email
*
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
I understand that I will be held fully responsible for accident insurance and will not hold the Robert Ivey Balley Academy liable for injury sustained during class or rehearsal. I understand that refunds will not be issued and makeup classes must be made up within a 2 month period.
*
I have read and agree to the above statement.
Submit Registration
Home
Class Information
Schedule
Tuition
Register
Donation
About Us
Our Instructors
Contact Us
Gallery
