Dancer Registration | Winchester Christian Ballet

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2025 SUMMER DANCE
REGISTRATION FORM

Dancer's First Name

Dancer's Last Name

Guardian's First Name

Guardian's Last Name

Birthday (MM/DD/YYYY)

Guardian's Cell Phone

Guardian's Email

Select the class you want to register for from the drop down menu.

I understand that I need to provide my child with snacks and a water bottle labeled with the dancer's name for the duration of the day.

Please list any medical/health/allergy conditions that may be pertinent to dancing:

WCB communicates with families regularly. Select the following ways you prefer to receive communication: * Required

Phone Call

Email

Text Message

Social Media

I have read and accept the Liability Waiver form.View form here.

I have read and accept the Photo/Video Release Form.View form here.

Select an item ($) *

DANCE CAMP (Age 3-6) - $80

BEGINNER BALLET INTENSIVE (Age 7-12) - $100

INTERMEDIATE BALLET INTENSIVE (Age 10+) - $100

ADVANCED BALLET INTENSIVE (Age 12+) - $130

ADVANCED BALLET INTENSIVE (pas de deux only) - BY INVITATION - $50

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5 North Bloomfield

Winchester, KY 40391

859-880-8848

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