Laurel Ballet - An education you can count on! Performances you can be proud of!
 
REGISTRATION FORM
$25.00 fee to register- new students only
 
 
Print form and mail to:
813 Highland Avenue, Greensburg, PA  15601
 
or
Email info to:
 
 
If you wish to have a registration form mailed to you, contact Joy at 724-832-7391
 
 
Registration fee is due on or before the first class of the session.  It can be mailed with form, paid for on the first attended class or made through the online payment link (found on the left hand side of this page)
 
 
 
Student's name: ______________________
 
Parent or Guardian: ___________________
 
Address: ____________________________
 
____________________________________
 
Home Phone: _________________________
 
Cell Phone: ___________________________
 
Email Address: _________________________
 
Student's Birthdate: ______________________
 
Class Level: _____________________________
 
If Level 1 student
Day: ________________ Time:______________
 
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