Bonita's School of Ballet - Home of the Union County Youth Ballet & Monroe City Ballet
Summer 2018 Registration Form
Student Name
Date of Birth
Age as of June 1st, 2018
Parent/Guardian Name
Street Address
City, State, Zip
Home Phone
Work Phone
Mother's Cell
Father's Cell
Student's Cell (if applicable)
Email Address
Health Concerns/Allergies
In Case of Emergency Contact(s) and Phone Number(s)
Although every effort is made to create a safe environment, I realized there is always a risk of accident. If neccesary, 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 injury or damages arising out of personal injury of any kind.
I Agree (This will act as an electronic signature)
BSOB is granted permission to use dancer's image in advertisements, news releases, and on its website.
I Agree (This will act as an electronic signature)
Tuition payments are due before or at the time of classes. After payments are 10 days late, a $10 late fee will be applied to all payments.
I Understand
Missed classes & tuition payments are not refundable. Students should contact studio directly to inquire about attending another age appropriate make up class. Refer to studio policies for more details.
I Understand
• I understand that Bonita’s School of Ballet is a private dance school and I certify that my dancer is not enrolled in any other dance classes other than an academic school of the arts.
I Understand.
Please check the following Camps/Intensives Student will be Attending
Unicorn Dance Party -- Ages 4-6
Unicorn Dance Party -- Ages 7-9
Advanced Intensive -- June 18-21
Pre-Advanced Intensives -- June 18-21
Intermediate Intensive -- June 11-14
Level 5/6 Intensive -- June 11-14
Level 4 Intensive -- June 11-14
Nutcracker Intensive -- Advanced Level
Nutcracker Intensives -- Pre-Advanced Level
Nutcracker Intensive-- Intermediate Level
Nutcracker Camp -- 1st & 2nd Graders
Nutcracker Camp -- 3rd & 4th Graders
Nutcracker Camp -- 5th & 6th Graders
Nutcracker Week -- 7th & 8th Graders
List of July/August Classes Student will be Attending (Please Enter Type of Class, Level, and Days, each class on an individual line)