Registration Form

Please note that if no payment is received when you or your child registers for class, they will NOT be able to participate, You are welcome to observe classes to indicate whether you or your child wants to participate. This form is for our records and is for Registration only.

Financial Information and Policies 2016-2017

Registration Fees and Tuition Payment: A non-refundable registration fee of $25.00 is due for the entire family for the length of the Fall 2016 and Spring 2017 program year. The Latin Ballet of Virginia’s tuition is set at affordable, competitive rates. Tuition is to be paid in full for the semester at the time of registration. Students enrolled to take 3 or more classes for the full year (32 weeks) can pay their tuition in one lump sum at the time of registration or in four quarterly installments through one’s credit card.

Name *
Date of birth
Date of birth
Phone *
Best way to contact you
Parent Name *
Parent Name
Address *
Are you a returning student?
Previous Dance Experience?
If answered yes, please explain.
We would love to hear how you heard about us!
Please list any health condition that we need to be made aware of, ie. asthma, past injury, etc.
For sponsorship reasons only.
Monday Classes
These classes are available on Monday at Dominion Arts Center
Tuesday Classes
These are the classes available on Tuesday at The Glen Allen Cultural Center
Wednesday Classes
These classes are available on Wednesdays at Dominion Arts Center.
Thursday Classes
These classes are available on Thursdays at Dominion Arts Center.
Other Important Information
Emergency Contact *
Emergency Contact
Emergency Contact Information *
Emergency Contact Information
Date of Payment
Date of Payment
Please sign your name here in agreement of the above.
Today's Date *
Today's Date