2024-2025 Registration

Student Full Name
*
Date of Birth (Required for students)
Parent/Guardian Email Address
*
Years of Previous Ballet Experience
*

Little to None
1 -2 Years
3 - 4 Years
5 Years or more
Parent/Guardian Full Name (If student is under 18)
Address
*
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
Parent/Guardian Cell Phone Number
*
Parent/Guardian Address (If different from Student)
Select a Choice
*
Student Cell Phone (If Applicable)
Student E-mail (If Applicable)
Preferred Schedule of Payment
*

Annual Tuition- 1 payment due August 14th (10% discount in rate)
Trimester Tuition- Due August 14th, November 13th & February 12th
Emergency Contact Information (Name, Phone Number, & Relationship)
Allergies or Medical Conditions
Comments
Photo Release Consent -- Palmetto Conservatory of Dance has my permission to use my or my child’s photograph publically to promote the school. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
*
I Agree
I Do Not Agree
Parent/Guardian Electronic Signature
Please click on the checkbox to continue
*