Please complete ALL fields below to expedite your registration.  Submit one form for each class for which you are registering. Please mail tuition payment and $25.00 registration fee to New England Ballet, 5 Eden Rd, Wayland, MA 01778

Student First Name:  Student Last Name:

Registration Date (mm/dd/yy):

Class Entering: 

Previous Training:


City:  State:  Zip:

Date of Birth (mm/dd/yy or “Adult”):

Home Phone:  Alternate Phone:



First Name:  Last Name:

I understand that tuition is non-transferable and non-refundable.  New England Ballet is not responsible for injuries sustained on the premises.  I have read and agree to the policies stated in the attached brochure.