JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Belleville Summer Session Registration
Classes will meet at Belleville School of Ballet:
310 E Main St #17
Belleville, IL 62220
Tap classes will meet on Tuesdays in July: 13th, 20th, & 27th
Masks are required.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Parent/Guardian Name: (if student is under 18)
Your answer
Student Name:
*
Your answer
Student Age: (if student is under 18)
Your answer
Mailing Address:
*
Your answer
Email:
*
Your answer
Phone:
*
Your answer
Choose your Summer Session class(es) below:
*
Intermediate Tap for Kids/Teens: TUESDAYS 5:30-6:30pm ($55)
Drop-In Class: Intermediate Tap for Kids/Teens: TUESDAYS 5:30-6:30pm ($18)
Musical Theater Tap for Teens: TUESDAYS 6:30-7:30pm ($55)
Drop-In Class: Musical Theater Tap for Teens: TUESDAYS 6:30-7:30pm ($18)
Intermediate/Advanced Tap: TUESDAYS 7:30-8:30pm ($55)
Drop-In Class: Intermediate/Advanced Tap: TUESDAYS 7:30-8:30pm ($18)
Required
We would like to keep you in the loop! Can we add you to our mailing list?
*
Yes!
No, thank you.
I'm already on your mailing list.
Participation Waiver
By submitting this form:
1. I hereby agree to indemnify and hold harmless STL Rhythm Collaborative (STLRC) and its faculty/staff from and against any and all claims for personal injuries or damages of any kind arising from participation in the STLRC program. Furthermore, I authorize STLRC staff and faculty to seek emergency medical help for me and/or my child if this becomes necessary. I agree to indemnify and hold harmless STLRC personnel in seeking medical care for me and/or my child. I realize that every effort will be made by STLRC staff to contact me in the event of a medical emergency involving me/my child.
2. I give permission for my/my child's image/likeness to be used by STLRC for promotional purposes.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of moSTLy TAP.
Report Abuse
Forms
