Baltimore Ballet

Cem Catbas, Artistic Director

10534 York Road, Suite 201
Cockeysville, MD 21030
(410)-667-7974

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You may either fill out this form and submit online, or print out this form and send in with a check.

BALTIMORE BALLET SCHOOL, INC. REGISTRATION FORM

Personal Details:

First Name

Last Name

Age

Date of Birth

Address

City

State

Zip

Home Tel

Please use Hyphens (e.g. 410-667-7974)

Work Tel

Please use Hyphens (e.g. 410-667-7974)

Cell

Please use Hyphens (e.g. 410-667-7974)

Parent or Guardian (if under 18)

New Student?

If new, previous training

If new, how did you hear about us?

Please register me for the following classes (specify Level, Day & Time)

Term

Summer Fall

Tuition Fees:

Tuition

If paying in installments, give installment amount

Registration Fee

$35 Summer, $35 Fall, $50 after Sep. 1st,

$15 for 2nd family member

Discounts From Tuition

5% discount for payment in full for full year only

10% family discount for lesser tuition

Total $

Payment:

Visa or MC #	:					Expires :	/
3 Digit Security Code	:

Waiver:

Waiver Must Be Signed To Register

I hereby agree that I or my child will participate in dance courses given by Baltimore Ballet School, Inc., upon the agreement that I understand that all registration fees and tuition are non-refundable regardless of the number of classes actually taken, and a student may not perform in the Nutcracker without paying the second (December 1st) installment.  I also understand that with any physical activity there is a risk of injury, and I agree not to hold Baltimore Ballet School, Inc., or any of its employees responsible.  I release Baltimore Ballet School, Inc. and all of its officers, directors, and employees from all liability for personal injury, illness or property damage occurring on or off the School's premises.  I also give Baltimore Ballet permission to use photographs of my child or myself for publicity purposes.  I am fully aware that the dress rehearsals are closed to public and parents, and there will be a $2,500.00 fine for videotaping or photographing without written permission from Baltimore Ballet.

I have read the Waiver in full and I agree to lawfully abide by all of the terms contained therein.