Performance Dancers
 
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Registration

 

2007-2008 Registration Form
Please fill out a separate form for each student.

If you would like to print out this form and mail to the Greenville Ballet -
click here.

Your Email Address
Student’s Name
Address
City
State
Zip
Home Phone - -
Cell Phone
Parent’s Email Address
Grade (07-08)
Birth Date / /
Academic school student attends
Mother/Guardians' name
Father/Guardians' name
Physician’s Name
Physician's Phone #
Father’s employer
Father's Work #
Mother’s employer
Mother's Work #

How did you hear about us: check one or more:
Newspaper ad Television/Radio ad
Yellow pages Web Site
Word of Mouth Mailing

REGISTERING FOR (check one or more):

Pre-Ballet

(age 4-5)

Elementary Ballet
(grades 1-3)
Intermediate I Intermediate II
Intermediate III Intermediate II/III Pointe
Advanced Ballet Modern
Nutcracker
Adult Ballet Tap
Variations Ball Exercise Class
Jazz Hip-Hop
Competition
   

Please specify preferred class day

(1st and 2nd choice)


Submitting this form means that you accept the following:
"I hereby enroll myself or my child for the entire term and agree to follow all payment policies, dress code, and other rules and regulations as stated in this web site. I understand that all tuition payments are nonrefundable and agree to pay the late fees for late tuition payments and the service charge for bad checks. I recognize that attendance and participation may expose me or my child to risk of injury and harm. I accept this risk and agree that Greenville Ballet School and its staff will not be held responsible should such injury or harm occur. I hereby authorize the Greenville Ballet School to use photographs of the student on its website and in any publicity materials. "