Parent First Name *

Parent Last Name *

Phone *

Email *

Student 1 First Name *

Student 1 Date of Birth *

Years of Ballet Training *

fewer than 3
3-5
5-7
7+
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Years En Pointe *

not yet
fewer than 1
1-3
3+
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Student 2 First Name

Student 2 Date of Birth

Years of Ballet Training (2)

fewer than 3
3-5
5-7
7+
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Years En Pointe (2)

not yet
fewer than 1
1-3
3+
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Current Studio

2025 Interested Dates *

June 16th-August 1st (full program)
June 16th-July 11th (Session 1)
July 21st-August 1st (Session 2)
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