Enrollment

Enroll your student with the School of Southwest Ballet Theatre (SWBT) by completing the form below. This information will help the instructors at SWBT know each student and their families better as well as to allow SWBT access to complete parent and emergency information. Please note that each student must additionally register at Crossfit Fury before participating in a class.

Please also download the SWBT dress code order form and return the completed form and payment to our administrative assistant, Sydney Walker. See the Dress Code page for more information.

“*” indicates a required field. Please complete the form in it’s entirety. 

Student Information

Student First Name* Student Last Name*

Date of Birth* Gender* FemaleMale

Student Phone Student Email

Home Address*

City* State* Zip*

Academic School Grade

Parent/Guardian Information

Parent/Guardian Name*

Mobile#* Home#

Parent Email*

Other Parent/Guardian Name

Mobile# Home#

Parent Email

Emergency Contact Information

Emergency Contact* (other than parent) Relation to Student*

Emergency Contact Phone*

Family Physician* Phone*

Known medical conditions, allergies or special needs, or any additional information you'd like to share about your child or student that can help us to know them better.


Please let us know any prior experience the student has had with dance. (ex. last dance school attended, pointe experiences, etc)

I understand that in the case of an accident or injury the staff of SWBT and/or CrossfitFury will first telephone me at the numbers provided above. If they are unable to contact me they have my permission to phone either the family physician or transport my child to the local emergency room.