Robert Ivey Ballet
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Student Information
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Student Name
*
Date of Birth
*
Gender
*
Female
Male
When will you be joining us?
*
Spring 2020
Summer 2020
Fall 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)
*
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Last
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Emergency Contact
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First
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
Summer 2020
Ballet Classes
Class Information
Tuition
Schedule
Register
About Us
Our Instructors
Contact Us
Gallery
