Registration Form
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Student Information
Last name:
 First name:
Street Address:
 City:
Zip
code:
State:
Work Phone:
Home Phone:
Cell
Phone:
Email:
School:
 Grade:
-
 -
Date of Birth:
Prior Dance / Gymnastics /
Athletic Experience:
Other Current Activities:
Class Enrollment Request
Class name:
 Instructor:
Day of the week:
 Time of Day:
Class name:
 Instructor:
Day of the week:
 Time of Day:
Class name:
 Instructor:
Day of the week:
 Time of Day:
Class name:
 Instructor:
Day of the week:
 Time of Day:
Class name:
 Instructor:
Day of the week:
 Time of Day:
Class name:
 Instructor:
Day of the week:
 Time of Day:
Class name:
 Instructor:
Day of the week:
 Time of Day:
Class name:
 Instructor:
Day of the week:
 Time of Day:
Class name:
 Instructor:
Day of the week:
 Time of Day:
Class name:
 Instructor:
Day of the week:
 Time of Day:
Parent/Guardian Information
Last name:
 First name:
Street Address:
 City:
State:
 Zip code:
Home Phone:
 Work Phone:
Cell Phone:

 Email:
First name:
Last name:
Street address:
 City:
State:
 Zip code
Home Phone:
 Work Phone:
Cell Phone:

 Email:
Emergency Contact Information
First name:
Last name:
Home Phone :
 Work Phone:
Cell Phone:
Relationship:
Last name:
 First name:
Home Phone:
 Work Phone:
Cell Phone:
Relationship:
Performance Opportunities
We invite you/your child  to perform in our Nutcracker for Children in December 2008, and/or our Spring
Recital in June 2009
Yes, I/my child would like to perform in the Nutcracker for Children:
If yes, please fill out the
required volunteer form
Yes, I/my child would like to perform in the Spring Recital:
The staging of a successful performance requires the help of many, many people.  Help is needed before,
during and after the show.  If you/your child will be performing with Caston's Ballet Academie, we ask
that you volunteer your time to help with the show(s) in which you/your child will dance.  
Click here to fill out the required volunteer form to select the tasks
with which you would like to help.
Optional Tuition Reminder Plan -- Avoid Late Fees!
An optional tuition reminder plan is available to ensure you avoid any late fees.  The fee is $5 per month
(for monthly tuition payments) or $5 per semester (for semester tuition payments)
Yes, I would like to participate in the Tuition reminder plan:
Please select preferred tuition reminder method (email or postcard):
Please Note
  • Every effort will be made to honor your class enrollment requests, however the faculty and staff of
    Caston's Ballet Academie will make the final determination regarding the appropriate class(es) for
    you/your child based upon student skills, age and class size.
  • Tuition is payable in advance.  Tuition payment plans can be set up either monthly or by semester (Fall,
    Winter, Spring, Summer).
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Caston Ballet Academie