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Robert Ivey Ballet

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Creating Dancers Since 1978

Register

Student Information

* Indicates required field

Student Name *

Date of Birth *

Gender *

Female Male

When will you be joining us? *

Summer Camp / Intensive Fall of 2018 Spring 2019

Years of Training *

Beginner 1-3 years 3-5 years 5-10 years Greater than 10 years

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 *

First

Last

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
Contact Us
Our History
Gallery