2019-2020 Academy Registration Form
Registration form for Oakland Ballet Company's Academy.

Please complete one registration form for each student you would like to enroll.

Tuition Payments can be made in one of three ways.
mail us a check made out to the Oakland Ballet Company 2201 Broadway Suite LL17, Oakland, CA 94612
call us to process a credit card at 510-893-3132
or use the following PayPal link
https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=74J2SJX3LWL2A

If you are enrolling in the middle of a semester, your tuition will be pro-rated based on the number of classes left in the year.
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Student First Name *
Student Last Name *
Class Level Requested *
Student Age *
Student Birth Date *
Parent First Name *
Parent Last Name *
Email Address *
Note that you will primarily be contacted by email. If this is problematic, please make a note that you would like to be contacted by phone only.
Phone Number *
Please provide the number you prefer to be contacted at.
Street Address *
City *
State *
Zip Code *
Emergency Contact and Relationship *
Emergency Contact Number *
Dance Training to-Date *
As a student training and/or performing with Oakland Ballet Company, I hereby irrevocably consent to release all rights to photographs, videotapes, or other recordings of me taken by Oakland Ballet Company during classes, rehearsals, and/or performances. All negatives and positives together with any and all prints now and in the future shall constitute Oakland Ballet Company's property solely and completely. I understand that I may not videotape any classes, performances or rehearsals without prior consent. *
Please type your name below to sign this form.
Date *
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