Extended Ballroom

Northridge Extended Ballroom
April – May 2021

Please submit the information below to register for the Northridge Extended Ballroom Team for April – May 2021:

Student Name*
First Last
Your School*
(Northridge, Orchard, etc)
Parent Name*
First Last
Contact Phone*
Contact Email*
I understand:*
- district-approved Ballroom safety measures will be used to create as safe an environment as possible but cannot be guaranteed to be COVID-free.
- the class fee is $45 per student for April - May and payment is due 1st day of class: April 13th.
- the Extended Ballroom Team program meets Tuesdays & Thursdays from 2:40pm -3:40pm April - May 2021.
- I may be asked to help in some way to assist the program
Parent E-Signature*

I have read, accepted, and discussed the Elementary Ballroom Standards with my student. My student agrees to follow the Ballroom Standards.
Student E-Signature*

I have read, accepted, and discussed the Elementary Ballroom Standards with my parent. I agree to follow the Ballroom Standards.