FALL 2024 REGISTRATION - For His Glory Ballet

REGISTRATION FORM for
Fall 2024

* Indicates required field

Parent Name *

First

Last

Student Name *

First

Last

Age *

Birthday *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Previous level and any extra classes you are signing up for (company, pre pointe, pointe, tap) *

Medical Conditions/ Restrictions *

Date: *

Submit