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Spring 2023 Fresh Pond Ballet Teen & Adult Registration Form
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* Indicates required question
Student Name
*
Your answer
Student age (teens only)
Your answer
Parent Name (if applicable)
Your answer
Primary email address where you would like to receive Zoom links:
*
Your answer
Home Address
*
Your answer
Please select the day(s) you would like to register for classes (select all that apply)
*
Monday, 4:30pm: Ballet 3/4
Monday, 6:15pm: Ballet 5/6
Tuesday, 6:15pm: Ballet 5/6
Wednesday, 6:15pm: Ballet 5/6
Thursday, 6:15pm: Ballet 5/6
Required
How will you be paying?
*
TEENS ONLY: I will enroll for the semester (January-June)
I will purchase a 10 class card
Other:
Would you like to pay by check or credit card?
*
I would like to send a check made out to Nina R. Alonso for the total amount
I would like to pay via PayPal for the total amount due
Do you have any injuries or physical limitations you would like us to know about?
Your answer
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