Pre-Registration Form

Student's Name *

First

Last

Student Age *

What School Does Student Attend? *

Birthdate

Gender *

Student Grade, Fall 2018 *

Wish to Enroll For: *

Parent's Name

Parent Email *

Parent Phone

Mailing Address *

City, State, Zip *

In Addition to Ballet, Also Interested In:

Experience

Tell us about any previous dance experience or instruction the student has had.

Anything Else We Should Know?

Name

Bountiful School of Ballet

Address: 566 West 1350 South, #3, Woods Cross, UT 84010

Phone: 801.292.5288

Click HERE to send enroll your child in classes!