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Flora Leptak-Moreau

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Juneteenth 2025 Event

Chase After-School Registration ($25)
Ballet Caraibes,LLC

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Choose Your Class (es): * Required

Ballet Caraibes (Tuesdays)

Tap Dance (Thursdays)

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Student's First Name

School Attending

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Student's Last Name

Choose Child's Grade Level

Homeroom Teacher

Parent's Phone

Parent's Name

Address

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Reason for Wanting to Join

If registering for Ballet: Parts of Ballet Dance Uniform Required * Required

Leotard with skirt attached ($19.99)

Tights ($9.99)

Ballet Shoes ($15.00)

Scrunchy to keep hair out of face

I have everything need.

Optional: Black dance shorts for grades 4 and up

Yes,my child will have black dance shorts.

No, my child will not have black dance shorts.

Tap Shoe Required (If Tap dance was selected) *

Buy My Own

Rent ($10 sent by the first day)

Regular shoe until other choice is made by parent.

I already own part/all of Ballet Caraibes dance uniform.

I will need to buy part or all of the dance uniform for my child.

Which uniform part do you need to purchase? List them below.

Choose How to Pay for Dance Uniform

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Pay for Uniform by Cashapp:$floraleptakmoreau

Send Cash in Envelop

Already have uniform

Pay using Zelle

I understand that my child WILL need to be in dance uniform at each and every class. Students not dressed for class will most likely be required to observe the class for that day as part of the learning, discipline and responsibility purpose in building an arts community at Chase Elementary. If your child already has uniforms, that's OK! If you child has other dance clothes, it can be used, but will still need to own a uniform if your child is going to engage in this year-long After-School Dance program.

By submitting this registration form, you give Ballet Caraibes permission to use dance images and video of your child on our website or on media materials that may appear on social network not limited to Youtube or Facebook. Thanks for your support!I agree to images and video the terms & conditions.

Thanks for submitting your registration for After-School Dance

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Ballet Caraibes, LLC

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Chase After-School Registration ($25) Ballet Caraibes,LLC

Please, click the button once and wait a second to see red Thank you text that means you form went through.

Chase After-School Registration ($25)
Ballet Caraibes,LLC