Student Full Legal Name *

First Name

Last Name

Student DOB *

MM

DD

YYYY

Parent/Legal Guardian Full Name *

First Name

Last Name

Mailing Address (We will never send you marketing) *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is Student Allowed to Leave Studio without Parent/Guardian at End of Class? *

YES

NO

I am of full legal age and have read and agree to the Ballet Student Waiver found at http://www.amynovinski.com/balletstudentwaiver . Choosing "yes" serves as your signature; choosing "no" will cancel your participation in this event. *

YES

I am of full legal age and have read and agree to the Ballet Workshop Terms & Conditions found at http://www.amynovinski.com/workshoptermsandconditions . Choosing "yes" serves as your signature; choosing "no" will cancel your part *

YES