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Free Trial Registration

Please submit 1 registration & payment per student & complete all fields before clicking Submit.

Student Information

Student First Name

Student Last Name

Date of Birth (DOB) required

Academic School

Medical, allergies, other

Parent/Guardian Information

First Name

Last Name

Phone

Email

Home Address

Emergency Contact

Emergency Phone

Waivers & Agreements

Please acknowledge that you have read & agree to all California Pacific Ballet Academy policies, as found here.

I have read & agree to the terms & conditions

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