2023-2024 Registration Form

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1030 N Crooks Rd
Suite N
Clawson, MI 48017
248-550-6056

valentinaballet@outlook.com

www.vballetschool.com

Registration Form

Student Name:

Age

Date of Birth:

Special Needs/Allergies:

Parents/Guardians Name (if student is under 18):

Address:

City:

Zip:

Cell Phone:

Contact Email:

Emergency Contact:

Phone:

Ballet (years)

Pointe (years)

Jazz (years)

Contemp (years)

Previous Dance Schools:

Previous Dance Schools:YesNo