PLACEMENT CLASS REGISTRATION FORM

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Official School of New Jersey Ballet Company

Artistic Director: Maria Kowroski

Student's Name (First & Last)

Parent/Guardian's Name (First & Last)

Years of Ballet

Years of Pointe

Email

Phone Number

Street Address

City

State

Zip Code

Date of Birth

Current Dance Studio

Are you interested in (select all that apply)

Open

Intensive

Both Open & Intensive

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