CBA Registration: 2020-2021

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Please complete a registration form for each child. Tuition is non-refundable and is due by the first day of class each semester.

Students who are enrolled for Semester 1 do not need to re-register for Semester 2.

Student Information

Last Name *

First Name *

Date of Birth *

Month/Day/Year

Academic Grade *

(for 2020-2021 school year)

Academic School *

CBA Class Information

What CBA level was this student in during the 2019-2020 year? *

Creative Movement (3-4 year olds)

Creative Movement (4-5 year olds)

Pre Ballet

Beginning Ballet A

Beginning Ballet B

Ballet 1A

Ballet 1B

Ballet 2A

Ballet 2B

Intermediate A

Intermediate B

Advanced

Student did not attend CBA last year.

Required

What CBA ballet level is this student registering for? *

Please refer to our website for 2020-2021 class schedules and level details.

WAITLIST ONLY: Creative Movement: 3-4 year olds (This class is currently at capacity. You will be added to the waitlist).)

Intro to Dance: 4-5 year olds

Pre Ballet

WAITLIST ONLY: Ballet 1 (This class is currently at capacity. You will be added to the waitlist).)

Ballet 2

Ballet 3

Ballet 4

WAITLIST ONLY: Ballet 5 (This class is currently at capacity. You will be added to the waitlist).

WAITLIST ONLY: Ballet 6 (This class is currently at capacity. You will be added to the waitlist).

Ballet 7

Ballet 8

Modern or Contemporary Choreography Lab Only

Required

Is this student registering for a Performance Ensemble?

Junior Ensemble (open to students in Ballet 4-6)

Senior Ensemble (open to students in Ballet 7-8)

Is this student registering for a modern or contemporary class?

Students may register for modern class only but are encouraged to consider taking both modern and ballet. Please refer to the website for 2020-2021 class schedules and suggested placement criteria.

Modern 1

Modern 2

Modern 3

Contemporary Choreography Lab (open to students ages 12 and up)

At this time, this student plans to attend classes: *

In Person

Virtually

Required

Parent/Guardian Information

Parent/Guardian's Name *

Additional Parent/Guardian's Name

Street Address *

City *

State *

Zip Code *

Primary Phone Number *

Alternate Phone Number

Please include an additional contact number if applicable.

Email Address *

Please list the email address that you would like important CBA communications to be sent to.

Secondary Email Address

Please include any additional email addresses you would like information to be sent to.

Emergency Contact Information

Name *

Phone *

Additional Information

I am interested in going paperless and receiving the majority of CBA communications electronically: *

Yes, sign me up!

No thank you.

My preferred method of payment is: *

Zelle/Quickpay (preferred by CBA)

Credit Card (additional processing fee will apply)

Cash or Check (for the safety of our staff, we prefer families not to use this option at this time unless necessary)

Required

Are you interested in volunteering in any of these areas?

Please select all that apply:

Benefit and Special Events

Fundraising

Front Desk

Costuming

Special Skills (advertising, florist, carpentry, construction/general contractor, sewing, DJ, etc.)

Board of Directors

Other:

How did you hear about CBA?

Optional question for new students.

Notes

Use this space to include additional information you'd like to share (ex: allergies, medical info, preferred pronouns, etc.).

Waiver

I hereby release Chicago Ballet Arts, its agents and employees, from all liability for personal injury, illness, or property loss or damage. I give consent for staff and personnel to take and use photographs and/or video of my child for CBA's promotional purposes, including for use on its website, social media, posters and other materials.

By checking this box I have read and agree to the above waiver and understand that this will serve as my electronic signature. *

I agree.

Required

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