Chicago School of Ballet Registration Form
Name:
______________________________________________ Birthdate:
____________ Age:
________________
Parent’s name:
___________________________________________________________________________________
Address:_____________________________________________________City:_____________Zip:_______________
Phone: (day) ________________________
(evening) ___________________________________________________
Ballet experience:
________________________________________________________________________________
________________________________________________________________________________________________
How did you hear about the school?
_________________________________________________________________
C.S.B. class
level:_______________________________________Days:______________________________________
Enclose tuition and $15.00 registration fee
with this form to:
Chicago School of Ballet, 2635 W. Grand
Ave., Chicago, Illinois 60612