New
England Ballet Registration Form: 4 Week Session t June 2-June 26
To register: 1. Complete and Sign this form 2. Include Tuition. (non- refundable) Deadline for registration is May 24, 2008. Thank you!!
Student Personal Data:
Check one:
New Student_____ Returning Student_____ Student of another School________Name_______________________________________________________Date of Birth______________________
Address_____________________________________________________Age_____________________________
City / Zip____________________________________________________School Grade_____________________
Parent / Guardian_____________________________________________Home Tele._______________________
Business Address_____________________________________________Work Tele._______________________
Faculty: Karen Goodman, Linda Giancaspro, Chelsie Davis
Total Tuition
Classes ___________________________________ _________
________________________________ _________
Total $________
Total Tuition for Classes is due before May 24, 2008
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’s classes or activities.
Signature____________________________________________________Date________________
(Parents or Guardian if student is under 18 years)