2011-2012 Registration Form Please fill out a separate form for each student. If you would like to print out this form - click here. *Required Fields. *Your Email Address *Student’s Name *Address *City *State *Zip *Home Phone - - Cell Phone Student’s Email Address *Grade (11-12) *Birth Date (not 2011) / / 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: Television ad 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 Pointe or Variations Advanced Ballet Modern Nutcracker/Perf. Jazz Adult Ballet Tap Twinkle Toe Tots (age 3-5) Adult Jazz Tap/Jazz (K-1st) Hip-Hop Competition Skills and Technique List any other class specifics not listed above 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 tuition payments are due on the first of the month September thru May and 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. "
2011-2012 Registration Form Please fill out a separate form for each student.
If you would like to print out this form - click here. *Required Fields.
Pre-Ballet
(age 4-5)
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 tuition payments are due on the first of the month September thru May and 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. "
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