Previously Enrolled Student New Student
Please refer to the class schedule below to select dance classes for the 2019-2020 season.
Student's First Name Student's Last Name
Date of Birth: Age as of 9/1 this year:
Academic Grade: School Attending:
Address City/Town: Zip:
Home phone: Cell phone:
E-mail address: Repeat email address:
Mother's Name: Work phone:
Father's Name Work Phone:
Details of previous dance training?
List any allergies or health restrictions or special learning needs:
Please check each item showing you have read and understand our policies
I understand that to remain enrolled in the ballet classes from pre-ballet to
intermediate level the student must make every effort to attend class each week.
I understand that to remain enrolled in the Trainee division the student must commit to and
attend the minimum number of classes per week to improve technique, prevent injury, and
perform in a quality performance
Due to insurance purposes a signed release is required to attend class.
I understand that my child will be participating in a dance program that may be physically
rigorous at times. I waive, release, and discharge Okatie Youth Ballet and Laura Peterson from
any liabilities caused during or after my participation in the dance program.
I hereby give my permission to Okatie Youth Ballet to use photographic likeness in all forms of
media for advertising and other lawful purposes.
My non-refundable registration fee of $25.00 and $30.00 costume deposit and first months payment will be submitted to
indicate official registration before it is accepted. I will receive a class schedule and written
tuition schedule and I agree to make tuition payments as set forth therein.
Students must give a 30 day written notice to be dropped from a class.
Registrations and payments are nonrefundable. Payments are based on a yearly fee per class
not number of classes within a month or quarter.
By submitting my name below I electronically sign and agree to the information provided on this