REQUIRED CLASSES AND RECOMMENDATIONS

(detach and keep top portion for referral)

Student’s Name:

Level:

Recommended Classes:

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W

TH

F

S

Required Classes:

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W

TH

F

S

Conference requested - Please call to make an appointment.

Teacher comments:

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CURRICULUM & CLASS RESERVATION FORM

All students must submit a curriculum & class reservation form for instructor approval

Before September 1^st, please complete and mail this form with the $50.00 annual enrollment fee to: Professional Ballet School, 425 Harbor Blvd. #3, Belmont, CA 94002.

Student’s Name:

Address:

Phone#:

E-Mail:

Classes student will be taking per instructor’s recommendation and approval:

M

T

W

TH

F

S

Parent signature:__________________________

                                                            Instructor’s signature:______________________