Registration

Which class and location are your registering for? (DB=Darrah Blanton AH=Aubra Heller)
Summer Camp Session A, July 21-25 'Ballet Stories' Capitol Hill ages 4-9 (AH)Summer Camp Session B, August 25-28 'Under the Sea' Ballard ages 4-9 (AH)BALLARD: Monday 3:10-4:00 Creative Pre-Ballet ages 3-5.5 (AH)BALLARD: Monday 4:10-5:00 Creative Pre-Ballet ages 3-5.5 (AH)BALLARD: Monday 5:10-6:00 Creative Ballet ages 6-9 (AH)CAPITOL HILL: Wednesday 2:40-3:30 Creative Pre-Ballet ages 3-5.5 (AH)CAPITOL HILL: Wednesday 3:40-4:30 Ballet-Tap Combo ages 6-9 (AH)BELLINGHAM: Thursday 3:10-4:00 Creative Pre-Ballet ages 3.5-5.5 (DB)BELLINGHAM: Thursday 4:10-5:00 Creative Ballet ages 6-9 (DB)

Your Name


Student Name


Date of Birth

Preferred Pronouns



Phone (Cellular)

Phone (Work)

Phone (Emergency)

please provide the phone #(s) for the adult who will be taking your child to class

Parents’ Names

Address 1

Address 2

City

Zip code

Email address


Please describe any disabilities or health history you would like us to be aware of:

Release Form:
I agree to let my child participate in the dance program of Darrah Blanton, and hereby release Darrah Blanton, Sara Stevens and Aubra Heller from liability for any injury or exposure to illness my child may incur as a result of their participation.

Release signature (Type the name of the parent or guardian completing the form.)

Release Date

Please indicate whether you would allow photos and/or video of your child to appear on our social media platforms (Instagram and Facebook) and website. Names are never shared.
Allow the use of photographs and/or video of my childPlease refrain from using photographs and/or video of my child

Refunds/credits are not available after August 9 for fall classes, after November 15 for Winter/Spring classes, or after April 1 for Summer classes/camps. Cancellations prior to these dates will incur a $50 cancellation fee per registration.
I understand and agree to the refund policy.

How did you hear about us?