2020 Summer Online Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

After this form is submitted, you will receive an email confirmation within one week.

Email *

Student Name *

Date of Birth *

YYYY

Age as of June 1st, 2020 *

Parent(s)/Guardian(s) Name(s) *

Address *

Home Phone Number *

Work Phone Number *

Mother's Cell Phone Number *

Father's Cell Phone Number *

Student's Cell Phone Number (if applicable)

Mother's Place of Employment

Father's Place of Employment

Academic School *

Upcoming Grade Level *

Any Health Concerns of Allergies

In Case of Emergency Contact (name and phone number) *

Although every effort is made to create a safe environment, I realize there is always a risk of accident. If necessary, I authorize Bonita's School of Ballet to administer first aid treatment and/or emergency treatment for my child on my behalf. I further release Bonita's School of Ballet and its employees from liabilities for injuries, illnesses, or damages arising out of personal injury of any kind. *

I understand

Bonita's School of Ballet is granted permission to use dancer's image in advertisements, news releases, and on its website. *

I understand

I understand that I am enrolling for the 2019 Summer Session at Bonita's School of Ballet. I understand that I am responsible for all tuition payments as registered until a Registration Change Form is submitted, minimum 5 days prior to change. *

I understand

In teaching the art of dance, it is entirely appropriate for a teacher to put his or her hands on a student to correct the student's posture, the physical line, position of the student's body or part of his or her body, or to help a student hold a position. BSOB does not tolerate any teacher-student contact that is harmful or inappropriate. In enrolling their child in BSOB, parents should acknowledge that it is BSOB practice to correct students with physical contact. *

I understand

Tuition payments are due on or before the first day of each month. After the 10th of each month, a $10 late fee will be applied to all late payments. *

I understand

All returned checks will incur a $35 fee. *

I understand

Students with unpaid tuition may not be allowed to participate in class until fees are paid in full or arrangements have been made. *

I understand

Monthly tuition fee will remain the same regardless of the number of absences in the month. Tuition payments for missed classes are not refundable. Students should contact the studio directly to inquire about attending another age appropriate make up class. Please refer to the studio policies for more details. *

I understand

Please check the camps/intensives you plan to attend.

Intensives (Advanced/Pre-Advanced)

Intensives (Intermediate)

Intensives (Level 6/7)

Intensives (Level 5)

Intensives (Level 3/4)

Nutcracker Intensives (Advanced/Pre-Advanced)

Nutcracker Intensives (Intermediate)

Nutcracker Intensive (Level 6)

Nutcracker Camp (Rising 1st & 2nd Graders)

Nutcracker Camp (Rising 3rd & 4th Graders)

Nutcracker Camp (Rising 5th & 6th Graders)

Nutcracker Camp (Boys 1st-6th Grade)

Please List all of the July/August classes for which you would like to register, each on an individual line. (Day, Time, Class Level, Class Style). *

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms