Ballet Level 2 Registration Request

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Classes begin Tuesday, September 5th, 2023.

All classes meet downtown at our 322 Mount Vernon Avenue studios unless otherwise noted as Worthington McConnell Arts Center ("MAC").

Must enroll in a minimum of two ballet classes/week.

*For boys, one of the ballet classes must be Boys Ballet 1/2.

You may choose to add an optional tap 1 class to your ballet schedule. You may also choose to take tap only.

Email *

Student First Name *

Student Last Name *

Student Date of Birth *

YYYY

Year of high school graduation (anticipated)

Student pronouns

She/Her

He/Him

They/Them

Prefer not to respond

Student Email

Student Cell Phone Number

Student Address - Street + Number *

Student Address - City *

Student Address - State *

Ohio

Other:

Required

Student Address - Zip *

Parent Name *

Parent Email *

Parent's Primary Phone Number *

Optional - when applying for grants and funds, we are often asked about the demographics of our population. If you would be willing to include this information, it assists us in giving the most accurate information possible. We thank you for your assistance! Check all that apply.

American Indian/Alaskan Native

Appalachian

Asian

Black/African American

Hispanic/Latinx

Native Hawaiian/Pacific Islander

White/Caucasian

Person with Disability

I am registering for:

Ballet classes only (level 2 flex)

Ballet plus tap classes (level 2 comprehensive)

Tap class only

Clear selection

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