Registration

2019-20 Season Registration

Please complete and submit the registration form below. Registration may also be submitted by mail to:

Bristol Ballet
519 State Street
Bristol, VA 24203

There is a $25 registration fee per student annually. Please be prepared to pay this fee and the first month’s tuition before the first class.
You will be contacted by email to confirm receipt of your registration and to make arrangements for fittings for dancewear and completion of the registration.

* Indicates required field

Student's Name *

First

Last

Birth Date *

First

Last

School *

First

Last

Previous Dance Experience *

Contact information

Mother's Name *

First

Last

Mother's Workplace *

First

Last

Father's Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Home Number *

Cell Number *

Emergency Contact *

First

Last

Emergency Phone *

Additional Information *

How did you hear about us? *

Permission Release to use photos and videos for Bristol Ballet marketing purposes.

Permission *

I authorize the use of pictures or video of my child in newspapers, brochures, or social media sites for marketing purposes for Bristol Ballet. I DO NOT authorize the use of pictures or video of my child in newspapers, brochures, or social media sites for marketing purposes for Bristol Ballet.

Submit

2019-20 Season Registration

Thank You 2019-2020 Sponsors: