The School of the Albany Berkshire Ballet

The premier ballet school in the Capital District     www.berkshireballet.org

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Registration Form

 

Student Name                                                                                                              Date of Birth

 

Address                                                                       City                                            State                         Zip

 

Home Phone                                                                              Cell Phone

 

Mother                                                                                         Day time Phone

 

Father                                                                                           Daytime Phone

 

Email      

 

Previous Dance Instruction                                                                                     How Long?

 

How did you hear about us?

                                                  

Class                                                            Day                                             Time                          Fee

                                 

Class                                                            Day                                             Time                          Fee

 

Class                                                            Day                                             Time                          Fee

                                                  

Class                                                            Day                                             Time                          Fee

 

Class                                                            Day                                             Time                          Fee

 

Class                                                            Day                                             Time                          Fee

 

Class                                                            Day                                             Time                          Fee

                                                  

                                                                                                      $10 Annual Registration Fee

                                                                   

                                                                                                                       Tuition Due           

                                 

                                                                                                                       Total Payment Today          

                

                                                   Payment Method / App#                    

                

Registration fee, tuition and form should be mailed to:

                                                                                     School of the Albany Berkshire Ballet

                                                                                     25 Monroe St., Suite #210,   Albany, NY 12210

In no event shall the School of the ABB or its employees be responsible for personal injuries or damaged or lost personal property.  I give the SAB permission to use dance photos of my child for internet publicity or advertising purposes.  I also understand the school’s policies as outlined and that I am responsible for tuition payments as described above.  Tuition is due and payable prior to the first class.  Classes are dependent upon sufficient registration. Tuition is nonrefundable nor transferable.

 

 

Signature of Parent / Guardian                                                                                                                      Date