Contact NEW STUDENT FORM Interested in joining us? You’re in the right place! Please complete the form below. We will reach out to you to answer any questions that you may have and schedule a complimentary level placement class for your dancer! Parent Name * First Name Last Name Parent Email * Parent Phone * (###) ### #### Student's Name First Name Last Name Student's Date of Birth MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Liability Waiver and Risk Acknowledgement I acknowledge and assume any and all risks which might occur to me or my child while traveling to and from or participating in a Classical Ballet School class, rehearsal, performance, or activity. I also exempt, release, and indemnify Classical Ballet School, its owners, agents, employees, volunteers, guest artists, and students from any and all liability claims, demands, or causes of action whatsoever from any damage, injury, or loss to me, my children, or property which may arise out of or in connection with participation in any Classical Ballet School class, rehearsal, performance or activity. I further hereby waive my rights and that of my heirs and assigns to hold Classical Ballet School, its owners, agents, employees, volunteers, guest artists, faculty members and students liable for such damage, injury, or loss. If I am signing this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights I have read the above and agree. * (Please type name below) Previous dance experience and dance school(s) attended * Classes interested in: Pre-Ballet Classical Ballet Summer Programs Adult Intermediate Ballet Additional Information or questions? How did you learn about Classical Ballet School? * Personal Recommendation Social Media Web Search Other There will be additional registration paperwork upon completion of level placement. Thank you! We will get back to you soon. (Please check your spam folder for an email from DIRECTOR@CLASSICALBALLETOK.COM if you do not receive a response in a timely manner) Located in Canyon Park Business Community, South of 15th & Bryant in Edmond 1605 E 19th StreetEdmond, OK 73013(405) 900-2444
