Ballet and Art Registration

Get on Your Toes or Lift Up Your Fingers!

The following information will be needed when you register.  Print out and fill in the information.   You may bring the form in at 11 East Harris, San Angelo, Texas 76903 or mail to me at 103 West 32nd Street, San Angelo, Texas 76903

659-8831 or 655-3505

Name of person completing information:________________________________

Name of Enrollee:___________________________

Address:__________________________________

City:______________________________________

Zip:______________________________________

Email Address:____________________________

Home Phone:_____________________________

Work Phone:_____________________________

Other Contact Number:____________________

Age:__________

Years of Experience:_________________

Referred by:______________________________

Dance Classes____   Art Classes____

__Pre-Ballet

__Ballet

__Adult Beginner Ballet

__Adult Ballroom Dance

__Adult Yoga

__Classical

__Pointe

__Tap

Previous Dance School(s) attended & Location:_______________

_______________________________________________________

Any Previous Injuries?___________________________________

Comments:_____________________________________________

_______________________________________________________

Fee Payments