New
England Ballet Registration Form: August 4-August 21, 2008
To register: (1.) Complete both sides of this form. (2.) Sign this form. (3) $200.00 Tuition Deposit (non- refundable). Please register early to insure that your class is open, class size is limited. Please register by June 26. Thank you!!
Student Personal Data:
Check one:
New Student_____ Returning Student_________Name_______________________________________________________Date of Birth______________________
Address_____________________________________________________Age_____________________________
City / Zip____________________________________________________School Grade_____________________
Parent / Guardian_____________________________________________Home Phone_______________________
Email________________________________________________________Work/Cell Phone___________________
Contact in case of an emergency___________________________________________________Phone___________________________
Classes you are registering for
:Please list Program/classes
______________________________________ Total Tuition _________
______________________________________ _________
Deposit _________
Balance Due $________
Total Tuition for Summer Classes is due before August 4, 2008
Registration is for the full three weeks!
I agree to pay the entire tuition of the class(es) for which I have
registered. I understand that refunds may be made only for prolonged illness or
severe injury, verified by Physician's Certification.
I agree to hold New England Ballet School and its faculty and employees
harmless for any injuries I may sustain as a result of my participation in New
England Ballet School classes or activities.
Signature____________________________________________________Date________________