Sign Up

Hannah's Ballet - Registration Form Spring 2020

Spring Session - Begins 01/21/20
* Cost: $135 (In order to cover new costs for renting the recital space at the high school, I've had to raise the session fee by $5. I am trying my best to keep ballet classes low-cost and accessible, by raising the session fee as minimally as possible. Thank you for your understanding!)

Registration Deadline: Students must be signed up online by January 6th, 2020

* Indicates required field

Dancer's Full Name *

First

Last

Class (If you would like to sign up for two, K-2 classes, please fill out separate forms) *

Tuesday (3-5th) 5:30-6:30 Tuesday (K-2nd) 4pm-5pm Thursday (K-2nd) 4pm-5pm

Dancer's Age (As of January 2019) *

Grade (Spring 2019) *Dancers must be in kindergarten to sign up for class * *

Please briefly indicate how much ballet experience does your dancer have? *

Parent/Legal Guardian Name *

Parent/Legal Guardian Phone *

Parent/Legal Guardian Email *

Parent/Legal Guardian Address *

Second Parent/Legal Guardian Name *

Second Parent/Legal Guardian Phone *

Second Parent/Legal Guardian Email *

Emergency Contact Person (other than parent) *

Relation to Dancer *

Emergency Contact Person Phone *

Who does the dancer live with? *

Who has permission to pick up your dancer? Please list names and relations to the dancer. *

Any known medical conditions/allergies? *

Does the dancer carry an epi-pen or inhaler? *

Do you give photo release permission for your dancer? (Photos may be used on website) *

Yes No

Do you have any other concerns or things we should know about your dancer? *

I/WE REALIZE THAT PARTICIPATION IN DANCE CLASSES AND ACTIVITIES COULD RESULT IN SOME POSSIBLE PERSONAL INJURY. DESPITE PRECAUTIONS BEING TAKEN BY Hannahs ballet, ACCIDENTS AND INJURIES MAY OCCUR. BY SIGNING THIS RELEASE FORM, I/WE (THE DANCER AND PARENT/GUARDIAN) ASSUME ALL RISKS RELATED TO participation in Hannah’s ballet classes and the USE OF ANY AND ALL SPACES USED BY HANNAH'S BALLET. PLEASE SIGN YOUR NAME BELOW *

Submit