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Robert Ivey Ballet

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Creating Dancers Since 1978

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Student Information

* Indicates required field

Student Name *

Date of Birth *

Gender *

Female Male

When will you be joining us? *

Fall 2019 Spring 2020

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

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Emergency Contact *

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Last

Email *

Phone Number *

Address *

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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
Ballet Classes
Register
- Audition
- FALL REGISTRATION
About Us