Register 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: CHOOSE WINTER 2021 CLASSES: 21/WINT Pre-Ballet II / Preliminary (Zoom): Tues. 3:30-4:00PM 21/WINT Level A / Level B (Zoom): Tue. 4:30-5:30PM 21/WINT Level C / Intermediate: Mon. 4:30-6:00PM 21/WINT Level C / Intermediate: Thurs. 4:30-6:00PM 21/WINT Intermediate/Advanced: Mon. 6:15-7:45PM 21/WINT Intermediate/Advanced w/Pointe: Mon. 6:15-8:15PM 21/WINT Intermediate/Advanced: Fri. 6:00-7:30PM 21/WINT Intermediate/Advanced w/Pointe: Fri. 6:00-8:00PM 21/WINT Adult Ballet Barre (Zoom): Mon. 7:30-8:15PM Previous Training: Address: City: State: Zip: Date of Birth (mm/dd/yy or “Adult”): Home Phone: Alternate Phone: Email: Parent/Contact: 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.