2021-22 Class Schedule
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Luzicka Ballet's 2021 Summer Evening Class Enrollment Form
Please fill complete ALL fields below to ensure we have current information for all students!
Student first name
Student last name
Please select a camp:
Pre-Ballet for 3 year olds - Mondays
Pre-Ballet 1-2 (PreK - Kindergarten) - Mondays
Pre-Ballet 3-4 (1st and 2nd graders) - Mondays
Pre-Ballet 5 (3rd - 5th graders) - Wednesdays
Pre-Ballet Boys (8 - 10 years old) - Wednesdays
New Vaganova 2s - Monday/Wednesday
Vaganova 4+ - Tuesday/Thursday
Will you be using the credit card we have on file (current student),
or do you need to provide a new credit card (new/current student)?
Please use the current card on file
Please contact me for new card information
Primary mobile number:
Secondary mobile number:
Student's mobile number (if any):
Student Email (if any):
How did you hear about us?
Previous training? Allergies? Special need we need to be aware of?
Let us know!
Luzicka Ballet may take photos during classes or activities for promotional purposes only. Do you give us consent to use your child's image in promotional materials?
All athletic activities, including Classical Ballet, have a risk of injury if done improperly. One of Luzicka Ballet's primary focuses in our instruction is injury prevention.
With proper training and preparation the risk of injury is greatly reduced, however, injuries are always possible, and
Luzicka Ballet cannot be held responsible for those injuries.
By clicking "Agree and Submit" you acknowledge you have read and agree to these policies.
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