Boston Ballet for Kids

Register for Dance Classes

Thank you for choosing BalletRox! A place where all youth are given "a chance to dance".

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Contact Information

Parent or Guardian Name*
Home Address*

Emergency Contact (other than primary contact)

Name*

Student Information

Name*
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Preferences

(write N/A if none)
Preferred Class*
Insurance Company*
Policy Number*
Child Physician*
Address*
Phone*
Known Allergies*
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