ROBERT IVEY BALLET
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Student Information
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Student Name
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Date of Birth
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Gender
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When will you be joining us?
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Master Class
Summer Camps
Fall, Spring, Summer Classes
Years of Training
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Beginner
1-3 years
3-5 years
5-10 years
Greater than 10 years
Adult student
Level of Training
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Current Ballet School
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Please let us know of any medical conditions (i.e. food allergies, medications)
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Please add any information that you would like us to know.
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Parent Guardian Information
Parent / Guardian Name (if not an adult student)
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Emergency Contact
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Email
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Phone Number
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Address
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City
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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.
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I have read and agree to the above statement.
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Home
Summer 2021
Class Info
Schedule
Tuition
Register
Donation
About Us
Our Instructors
Contact Us
Gallery
