415 Commerce Lane | Units 6 & 7 | West Berlin, NJ
Call for more information: 856-768-1740
South Jersey Ballet 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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Additional Email Choose class or classes* Pre Ballet Wed 4:30 Pre Ballet Sat 10:45 Intro to Ballet Wed 5:30 Intro to Ballet Sat 10:45 Intro to Jazz sat 11:30 Level 1 Monday 5:30 Level 1 Wed 5:30 Level 1 Sat 9:30 Jazz 1 Monday 4:30 Modern I & II Wed 4:30 Jazz II Tues 4:30 Level 2 Tues 5:30 Level 2 Thurs 4:30 Level 2 Sat 11:30 Beginner Pointe Tues following Ballet(must be approved) Beginner Sat following Ballet(must be approved) Petite Company Tues 7:30 (every other week) Level 3/4 Monday 4:30 Level 3 Tuesday 4:30 Level 3 Friday 4:15 Jazz III, Modern III Friday 5:45 Jr. Company Mon 6:45 Level 4/5 Tues 7:30 Level 4 Thurs 6:00 Level 4/5 Fri 12:30 Level 4/5 Sat 12:30 Ensemble Tues 6:30 Jazz IV Thurs 5:00 Modern IV Thurs 7:30 Level 5 Mon 6:30 Level 5 Wed 7:30 Level 5 Thurs 7:30 Jazz V Wed 6:15 Modern V Thurs 6:00 Level 1 Program Petite Company Program Jr. Company Program Sr. Company, Trainees or Unlimited 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, WedNumber of classes each week*example: 2Add additional student Yes, I would like to add an additional student Choose class or classes* Pre Ballet Intro to Ballet Level 1 Jazz I Modern I & II Level 2 Jazz II Level 3 Jazz III Modern IIII Level 4 Jazz IV Modern IV Ensemble Level 5 Jazz V Modern V Level 1 Program Petite Company Program Jr. Company Program Unlimited 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 neededexample. Level 1 Monday, WedNumber of classes each weekexample: 2Registration 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.