Summer Registration

STUDENT INFORMATION

Are you/your child a:*

New Student
Returning Student

Student Name*

First Last

Date of Birth*

Age*

Address*

Street Address Address Line 2 City State ZIP Code

Parent Name

First Last

Phone*

(REQUIRED)

Email*

Prior Years of Dance Instruction*

Any allergies or a medical condition we should be aware of?*

Yes
No

If allergy or medical condition, please describe.

I am registering for:*

Youth Classes
Adult Classes

Select which weeks your dancer will participate below:*

Dancers registering for all 5 weeks receive a 10% discount!

Select All
Week 1 - Arabesques
Week 2 - Turns
Week 3 - Développés & Extensions
Week 4 - Character Work
Week 5 - Allegro

Select which days you will participate below:*

Select All
Monday Adult Class
Wednesday Silver Swans / Swans
Saturday Adult Beginner Class
Saturday Adult Class
Sunday Adult Class

Dancer Class Level*

Please Indicate the class level for your dancer.

Do You Need Extended Care for Your Dancer?*

Dancers may arrive early or remain late at MAB. If you require a dancer to arrive before or remain past their class time there is a $100/week surcharge.

Yes
No

Before/After Care Information*

Please indicate if you need before or after care, the dancer's name, and which days we should mark them arriving early/remaining late.

Additional Information

Any additional information we may need such as vacations, delayed start date, etc.

Payment Terms*

I agree to the payment terms

I understand all fees must be paid when due, and there will be no refunds for any portion of tuition and fees paid. If paying by credit card, you hereby authorize Monmouth Academy of Ballet to charge your card when payments are due. If you elect to pay by cash or check, and your payment is more than 10 days past due, you hereby authorize Monmouth Academy of Ballet to charge your card for the amount due, plus a $50 fee. If your check is returned for any reason, you hereby authorize Monmouth Academy of Ballet to charge your card for the amount due, plus a $50 fee.

Policies, Calendar and Schedule*

I Agree to Policies, Calendar and Schedule

I have read and agree with the Monmouth Academy of Ballet’s POLICIES & PRACTICES, CALENDAR and CLASS SCHEDULE posted on its website.

Consent for Photography and Video

I give permission.

I hereby give permission to Monmouth Academy of Ballet to use for publicity purposes still photos and
videos of my student taken during class and performances.

Release of Liability
Prior to the student's first class, every student (or legal parent or guardian) must agree to and sign the Monmouth Academy of Ballet's Release of Liability - to be provided and executed in-person. This form was included in your welcome packet, and is also available here »

READY TO GET STARTED?