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Born in Boston, Massachusetts, she was the second of three children born to Kathleen and John Lamb. She first started with tap, then modern dance at age four and at six, started proper ballet at the Boston Ballet School. She was chosen to star as Clara for Boston Ballet's 100th anniversary performance of The Nutcracker. Lamb began training with Madame Tatiana Legat, at the Boston Ballet School aged 13. She trained with Madame Legat for four years and continued to be coached by her for a year after she joined Boston Ballet's second company.

Sarah Lamb's grandmother, Helen Lamb (affectionately known as "Hellcat"), founded a summer camp for handicapped children called Camp Jabberwocky. Her father and mother, John and Kathleen Lamb, ran the camp for many summers after Helen retired. Sarah and her two sisters, Caitlin and Dorian, worked at the camp as counselors, under their parents' aegis. In the summer of 2009, Sarah performed a ballet with three of the campers in the end-of-summer camp play.

Sarah Lamb married fellow dancer, California-born Patrick Thornberry, in 2005, and they reside in London. Thornberry now has a business teaching yoga.

She joined Boston Ballet in 1999 as a corps de ballet, was promoted to soloist in 2001 and principal in 2003. She joined The Royal Ballet in August 2004 as a first soloist and was promoted to principal in 2006.

She was awarded a Gold Medal in 1998 by U.S. President Bill Clinton after being named a Presidential Scholar in the Arts. With Legat's coaching she won three silver medals in 1999 at the International Ballet Competition in Nagoya, Japan, the Sixth NY IBC in 2000, and the USA IBC in 2002.

Sarah Lamb (born 17 October 1980) is an American principal ballet dancer with The Royal Ballet, London.