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2022-23 Ballroom Registration
Grade Level Fall 2022
Which elementary are you attending 2022-23?
Student School Email
Guardian/Parent Name 1
Guardian/Parent 1 Phone
Guardian/Parent 1 Email
We will communicate weekly by email, to save on copy costs.
Guardian/Parent Name 2
Guardian/Parent 2 Phone
Guardian/Parent 2 Email
Guardian/Parent 3 Phone
Guardian/Parent 3 Email
Other Guardian/Parent 2?
Guardian/Parent 4 Phone
Guardian/Parent 4 Email
On Ballroom Team last year?
Based on grade/age and/or previous experience, below are the class options. 4th grade may choose between 1 or 2 day.
1 Day -
3rd & 4th grades
4th grade is encouraged to select 2 Day if possible
2 Days -
4th, 5th & 6th grades
1 Day (3rd & 4th grades)
Tuesdays (3:35 - 4:35 pm)
2 Days (4th, 5th, & 6th grades)
Tuesdays & Thursdays (3:35 - 4:35 pm)
More Student/Guardian Info
Are you as parent/guardian willing to use the Remind app?
If your student is a lady, and convinced a man to signup as well, enter his name:
Check all other extra-curricular commitments
Any Ballroom dance experience?
(If not, no problem!)
Where and when?
Other dance experience?
(It's ok to say no)
What kind and how long?
What/who inspired your student to join Ballroom?
Check any that apply
Ballroom Team Member
Northridge Lunch-time Video
Northridge Lunch-time Dancers
Back -to-School Night
Cool posters in the halls
Loved being on Team Last year!
(Check each box to show you understand and agree to each condition)
Ballroom COVID Safety Measures will be used as needed and are subject to change with COVID updates. But we cannot be guaranteed to be COVID-free.
Ballroom classes are held at Northridge Elementary.
the class fee is $100/$180 per student per YEAR. Payment is due the 1st day of class.
if student fees are not paid by 2 weeks after Ballroom starts, my student may be removed from the class.
refunds are not available for elective withdrawal after the program has been running for 2 weeks.
the ballroom program is a girl and boy activity. Only so many more girls than boys (as determined by teacher) may be accepted to ensure a quality ballroom dance experience for all participating students.
that if the class is already full of girls, then my girl’s name will be placed on a “girls waiting list” until a boy commits to join the class.
that if a girl recruits a boy to join the class, she may add the class immediately (if there is room for them) and the boy commits to year in the program.
that enrollment interest will determine if class(es) carry.
the ballroom class enrollment for new team members is based on a first come first serve basis.
the ballroom program is a year-long commitment (September to April).
that I may be asked to help in some way to assist the program (ie: donations, class treats, Team Match, Concert, etc).
(shoes, clothing, etc) is required.
I have read, accepted, and discussed the
Elementary Ballroom Standards
with my student. My student agrees to follow the Ballroom Standards. I have also read the
Frequently Asked Questions
I agree to follow the Ballroom Standards.
This field is for validation purposes and should be left unchanged.
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