Is my child ready for ballet?

The main criteria for a child to attend class is a desire to learn. This can be demonstrated by their ability to focus for the length of the class and follow directions given by the instructor.

Class Registration Form

Childs Name (required)

child's grade

child's age (required)

Your Email (required)

mailing address (required)

Contact Information

Mother's or Legal Guardian (required)

Mother's Address

Home Phone

Cell phone (required)

Place of Employment

Work Phone

Father or Legal Guardian

Father's Address

Father's Cell Phone

Place of Employment

Work Phone

Emergency contact/Release Person other than parent or guardian

Name (required)

Relation

Phone Number (required)

Name

Relation

Phone Number

Medical Information

Child's Physician

Health Insurance Provider

Special disability, medical, dietary, allergy or medication information we should be aware of

Please Read Carefully

I am aware that dance classes and the gymnastic exercise associated with it may place unusual stress on the body and carry with them the risk of physical injury. On behalf of my child and myself, I assume the risk and agree that the Ballet Bitterroot Dance Academy shall not be liable in any way for any injuries sustained or loss of property during attendance at the school or any of its related functions. Pictures or video taken of my child or myself may be used by Ballet Bitterroot Dance Academy for advertising purposes

I have read the previous paragraph

My child/I will be attending the following classes (required)

I have chosen the following payment plan. Please refer to tuition schedule.(required)

Registration Fee (required)

Parent/Legal Guardian Signature. Name in this box will count as signature. (required)

Registering Additional Children:

Child 2 Name

Child's date of birth

child's grade

child's age

My child will be attending the following classes

Child 3 Name

Child's date of birth

child's grade

child's age

My child will be attending the following classes