ROBERT IVEY BALLET
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Summer 2020
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Student Information
*
Indicates required field
Student Name
*
Date of Birth
*
Gender
*
Female
Male
When will you be joining us?
*
Stars and Stripes Summer Camp (June 29-July 3)
Intermediate Intensive (July 6-10)
Young Dancer Intensive (July 20-24)
Dance Around the World Camp (August 3-7)
Saturday Series July 18
Saturday Series July 25
Saturday Series August 1
Saturday Series August 8
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
*
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
Summer 2020
Ballet Classes
Class Information
Schedule
Tuition
Register
Donation
About Us
Our Instructors
Contact Us
Gallery
