School Registration Form

Student's Name*

First Last

Home Phone*

Cell Phone*

Student's Date of Birth*

MM

DD

YYYY

Parent or Guardian's Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Additional Email

Choose class or classes*

choose one*

New student
Current student

Does your child have any medical and/or physical conditions we should be aware of?*

No, my child does not have any medical and/or physical conditions.
Yes, my child is being treated for a medical and/or physical condition.

If yes, please list medical and/or physical condition(s)

Previous Instruction(School)*

Length of time at previous school*

List the level and day(s) of class(es)*

example. Level 1 Monday, Wed

Number of classes each week*

example: 2

Add additional student

Yes, I would like to add an additional student

Choose class or classes*

choose one*

New student
Current student

Does your child have any medical and/or physical conditions we should be aware of?*

No, my child does not have any medical and/or physical conditions.
Yes, my child does have a medical and/or physical condition

If yes, please list medical and/or physical condition(s)

Student's Name*

Student's Date of Birth*

List the level and day(s) of class(es) if needed

example. Level 1 Monday, Wed

Number of classes each week

example: 2

Registration Terms*

By checking this box, you agree to the terms and conditions. A student registration fee of $30.00(non-refundable) or Family registration fee of $40(Non refundable) MUST ACCOMPANY the registration form. ALL TUITION IS PAYABLE IN ADVANCE (non-transferable). NO refunds of tuition are given except on the presentation of a doctor's certification for a serious injury resulting in the student's inability to complete the course.

A late fee of $20 will be assessed on any unpaid balance remaining after the second week of each quarter. All tuition payments are due the first day of each quarter. Class placement of each student is determined by the Director and the Instructors of South Jersey Ballet School. Make up lessons are offered for absence due to illness provided notification of the student's inability to attend class has been received in advance by the school's director. Make up lessons may be used only within the current quarter. Tuition credit is not given in place of make- up lessons. There are no make up lessons for closings due to inclement weather or power outages. We strive to remain a professional atmosphere for our students, therefore our dress code will be enforced at all levels.

South Jersey Ballet School

South Jersey Ballet School Registration form

Why South Jersey Ballet School?