Ballet Level 3 Registration Request

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Classes begin Tuesday, September 5th, 2023.

Must choose a minimum of three ballet classes/week.

*For boys, one of the ballet classes must be Boys Ballet 3/4. There is an optional conditioning class for boys.

All classes are held at our downtown studios, 322 Mount Vernon Ave.

Jazz 3 is required for the Comprehensive Track.

Tap 3 is optional for all level 3 students.

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 Level 3 Comprehensive

Ballet classes only

Tap and/or jazz class only

Clear selection

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