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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Optional Message:

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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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All 5 Master Classes - $125

Maria Kowroski - December 14 - 6 PM - $30

Daniel Ulbricht - December 15 - 6 PM - $30

Skylar Brandt - December 16 - 6 PM - $30

Mauro Villanueva - December 17 - 6 PM - $30

Sarah Lane - December 18 - 6 PM - $30

Electronic Signature: Enter Text

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Intensive Level: Enter Text

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