Bonita's School of Ballet - Summer Registration

Bonita's School of Ballet - Home of the Union County Youth Ballet & Monroe City Ballet


Summer Registration Form
Student Name
Date of Birth
Age as of June 20th, 2011
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
Classes Taking Advanced Intensive (June 20-23) Pre-Advanced Intensive (June 20-23) Intermediate Intensives (June 27-30) Fancy Nancy Camp (June 21-23) July - Tuesdays 3:30-4:15(3-4 yr old Ballet) July - Tuesdays 4:15-5:00 (5-6 yr old Ballet) July - Tuesdays 5:00-6:00 (7-8 yr old Ballet) July - Tuesdays 6:00-7:00 (9-11 yr old Ballet) July - Tuesdays 7:00-7:30 (Beg. Pointe/Pre-Pointe) July - Tuesdays 7:30-8:15 (8-11 yr old Jazz) July - Tuesdays 6:00-7:15 (12 & up Modern) July - Tuesdays 7:30-9:15 (12 & up Ballet/Pointe) July-Thursday 4:30-5:30 (9-11 yr old Ballet) July-Thursday 5:30-6:00 (Beg. Pointe/Pre-Pointe) July-Thursday 6:00-6:45 (3-4 yr old Ballet) July-Thursday 6:30-7:30 (12 & up Jazz) July-Thursday 6:45-7:30 (5-6 yr old Ballet) July-Thursday 7:30-8:15 (7-8 yr old Ballet) July-Thursday 7:30-9:15 (12 & up Ballet/Pointe) Advanced Intensive (August 1-4) Pre-Advanced Intensive (August 1-4) Nutcracker Camp - 4:30-5:15 (6-7 yr old Ballet) Nutcracker Camp - 4:30-5:15 (8-9 yr old Modern) Nutcracker Camp - 5:15-6:15 (8-9 yr old Ballet) Nutcracker Camp - 5:15-6:15 (10-11 yr old Modern) Nutcracker Camp - 6:15-7:30 (10-11 yr old Ballet) Nutcracker Camp - 6:15-7:30 (12 & up Modern) Nutcracker Camp - 7:30-9:00 (Pre-Advanced Ballet) Nutcracker Camp - 7:30-9:00 (Advanced Ballet)

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