MasterClassRegOnline

New

Jersey

School of

Ballet

Established 1953

Carolyn Clark, Director

7-9 Vreeland Road

Florham Park, New Jersey, 07932

Virtual Master Class Registration Form 2020

Student Name: Enter Name

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Email: Enter Email

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Parent / Guardian Name: Enter Name

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Address: Enter Address

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City: Enter City

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State: Enter State

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Zip code: Enter Zip

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Phone: Enter Phone Number

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Student Date of Birth: Enter Text

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Years of Ballet: Enter Text

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Years of Pointe: Enter Text

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Other Dance Training (please list): Enter Text

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Current Dance Studio (name/location):

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Please select the classes you will be attending.Please check all that apply:

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8 Master Classes - $200

4 Master Classes - $110

Maria Kowroski - August 17 - 1:30 PM

Jessica Lee Goldyn - August 17 - 4:00 PM

Skylar Brandt - August 18 -1:30 PM

Megan Levinson - August 18 - 4:00 PM

Nancy Raffa - August 19 - 1:30 PM

Pedro Ruiz - August 19 - 4:00 PM

Leslie Browne - August 20 - 1:30 PM

David Fernandez - August 20 - 4:00 PM

Electronic Signature: Enter Text

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Intensive Level: Enter Text

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