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



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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.