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REGISTRATION FORM New England Ballet Academy

Before you begin...

Please complete one registration per dancer. You can review this year's class schedule below:

This form adapts as you go — the options you see are based on your selections, and your total is calculated at the end. You can go back and make changes at any time, and your answers are saved if you need to step away and finish later.

Though it will work on a mobile device, we strongly encourage you to complete this on a computer, as some of the layout may render confusing on mobile. If using a mobile device, turning your phone to landscape view will help on the affected pages.

Are you a new student, or not yet placed in a level? Email NewEnglandBA@gmail.com before registering. Our faculty assigns each dancer's level, and we're here to you find the right fit.

A $50 non-refundable registration fee applies to each dancer and is included in your total.

Student Information

First Name

Last Name

Date of Birth

Current Age (as of Sep 1)

Gender

Phone Number (if applicable)

Email (if applicable)

Street Address

City

State

Zip Code

Parent/Guardian 1 Information

First Name

Last Name

Phone Number

Email

Street Address

City

State

Zip Code

Does your child have any medical conditions that faculty need to be aware of (e.g., allergies, asthma, diabetes, social challenges, injuries)? If so, please provide information on these here along with any information about activity restrictions. Reply "None" if applicable.

Will your child have an epipen or inhaler while participating in classes at NEBA? If so, please let us know how independently your child manages these medications. We will reach out to you about procedures regarding use of epipens and inhalers at NEBA.

REGISTRATION FORM New England Ballet Academy

Student Information

First Name

Last Name

Date of Birth

Current Age (as of Sep 1)

Gender

Phone Number (if applicable)

Email (if applicable)

Street Address

City

State

Zip Code

Parent/Guardian 1 Information

First Name

Last Name

Phone Number

Email

Street Address

City

State

Zip Code

Does your child have any medical conditions that faculty need to be aware of (e.g., allergies, asthma, diabetes, social challenges, injuries)? If so, please provide information on these here along with any information about activity restrictions. Reply "None" if applicable.

Will your child have an epipen or inhaler while participating in classes at NEBA? If so, please let us know how independently your child manages these medications. We will reach out to you about procedures regarding use of epipens and inhalers at NEBA.

Parent/Guardian 2 Information (Optional)

First Name

Last Name

Phone Number

Email

Street Address

City

State

Zip Code

Emergency Contact

First Name

Last Name

Phone Number