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Class Registration Form & Health Waiver

Integral Ballet
1842 Merrick Road | Merrick NY 11566

http://www.integralballet.com

516-442-1590

The front desk will be informed that your registration form has been submitted when a tuition payment is made. Completing an online registration form does not hold your spot in class until a tuition payment is received.

Registration form and payment must be received 72 hours before attending any class (including trials). Please read the withdrawal policy below which is available for children age 6 and younger.

FORMS RECEIVED WITHOUT PAYMENT ARE VOID AND NO RECORD WILL BE KEPT. TO MAKE YOUR TUITION PAYMENT NOW, CLICK HERE.

Participant Information

First Name *

Last Name *

Birth Date *

Class Title, Level, Day & Time (For Example: Ballet Level 1, Tuesday 5pm) *

Please confirm the number of classes for which you are enrolling: *

Month and Year Dancer Started at Integral Ballet for 5 Year Award *

Household / Adult Primary Contact

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone *

Alternate Phone

Email Address *

TUITION & REGISTRATION TERMS

Registration fees and tuitions paid are NON-REFUNDABLE regardless of attendance. Withdrawals are not permitted after 6 weeks from the date of your enrollment for visiting/recreational dancers. Withdrawals are not permitted after enrollment for Company dancers.

There is a $50 annual insurance fee for all students.

Tuition is based on yearly enrollment, September-August of any given school year. Tuition cannot be pro-rated for absences. Yearly tuition is payable as a single payment by cash, check or credit card (8% service fee will be added for credit cards), in three installments: September, October and November, or in 8 installments: August includes first and last month, September, October, November, December, January, February. There is a $20.00 Service charge for any cards we are unable to process for monthly billing. There is a $20.00 Service charge for all checks returned unpaid by the Bank.

All 1.5 hour, 1 hour, 45 minute classes and pointe classes are charged the same as the hourly rate.

Classes with fewer than 5 students are subject to shortening.

There are no refunds for missed lessons. All school breaks: February break, Spring break, Early summer break, Late summer break and Christmas break have been considered in our pricing. Absences and planned/unplanned closures have also been considered.

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I have read, understood and am in agreement with the Tuition & Registration Terms as listed above. *

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Class Attire

Ballet Girls: Black leotard and Pink tights for Level 1 and 2 and appropriate colored ballet belt. Black leotard and either Pink or Black stirrup tights, Level 3, Red Ballet Belts required. Chiffon dance skirts permitted, hair in a bun, ballet slippers (labeled with student’s name). Any color leotard are permitted for pre ballet and tots, pink tots and pink shoes. A tutu or skirt is required for pre ballet and tots.

Ballet Boys: White tee shirt, black dance pants, black ballet slippers and either black or white socks.

Jazz, Tap, Acro, Contemporary: Tan tights permitted. Ballet dress code takes priority so students taking back to back classes, please wear your ballet dress code.

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My electronic signature below indicates that I have read, understood and agree with the Class Attire terms as listed above. *

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Recital & Recital Costumes

Recreational & Visiting dancers performing in our yearly recital and other productions are required to purchase the appropriate costumes through Integral Ballet.

Costumes will likely require sewing and alteration which is the responsibility of the parent.

Final costume payment is due by November 15th. Students must be enrolled no later than October 1st in order to participate in our June recital. Please note that classes continue through August in our program.

Costume deposits and final payments are non-refundable.

There will be a dress rehearsal for recital in the spring. Parents are responsible for ensuring the fit of the costume, as well as for providing the appropriate color tights, shoes and undergarments.

For recital, ballet requires pink tights, pink shoes. A skin-toned camisole leotard may be worn under costumes if desired. Jazz and tap require skin tone tights and tan shoes. Contemporary, modern and acro are barefoot or with foot undeez and tan stirrup tights.

My electronic signature below indicates that I have read, understood and agree with the Recital and Recital Costume terms as listed above. *

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Studio Rules

Trial/placement periods are available as outlined on the tuition schedule. Integral Ballet reserves the right to drop registrants from enrollment without refund due to nonpayment, disruptive behavior, excessive absences, or improper attire. Classes with five or less students are subject to shortening. Class and level placement is at the discretion of Integral Ballet staff only.

Family and friends are not permitted in studio unless invited and announced.

Parents must be on time for pick up after class. Families who leave their child at the studio after hours will incur a $1 per minute babysitting charge.

Neither the child nor I will receive compensation for any published photographs taken at Integral Ballet or events hosted by Integral Ballet. I authorize Integral Ballet to publish photographs taken of me or my child for publicity purposes.

I have read, understood and am in agreement with all of the information contained in this form and give my child, who is in good health, permission to participate in dance and movement classes at Integral Ballet. I hold Integral Ballet, its teachers, staff and school, harmless for any and all injuries arising out of participation in any class(es) or other related activities away from the school. In such event, I further agree that the cost of such medical services shall be borne exclusively by myself. I hereby authorize Integral Ballet to take any necessary steps to make medical attention available, including physicians, hospitals or any other medical services, and Integral Ballet shall have full discretion to make such a decision. Photographs and videos of students from the school may be used for publicity in the future. I have listed below any and all medical problems concerning the student.

I have read, understood and am in agreement with the Studio Rules as listed above. *

I explicitly understand and agree to the foregoing terms as well as the amount of tuition as listed above. My affixed electronic signature has the same legal force and effect as my handwritten signature. *

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