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Class Registration Form & Health Waiver

Integral Ballet
1842 Merrick Road | Merrick NY 11566

http://www.integralballet.com

516-442-1590

PLEASE NOTE The front desk will only 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 unless a tuition payment is received.

Registration form and payment must be received at least 72 hours before attending class. 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 *

Sex

Birth Date *

Class Descriptions *

Are you enrolling for summer or the academic term? *

Academic Term

Summer Term

Class Days and Times *

2nd Enrollee First Name

2nd Enrollee Last Name

Sex

Birth Date

Class Days and Times

Class Descriptions

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

Enrolling a sibling? Take 10% off one of your younger child's classes *

Yes - I am enrolling a sibling

No - I am not enrolling a sibling

Summer Enrollment Week Selection. Please indicate the weeks in which you will be absent.

Please note that tuition or voucher must be purchased in order to validate your enrollment in any class. *

I will make an online payment now by clicking the 'Tuition' tab

Household / Adult Primary Contact

Relationship to Participants: *

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone *

Alternate Phone

Email Address *

There is a $50 annual registration fee. There is a $50 withdrawal fee to withdraw from any registered class after the start of classes in September.
Registration fees are non-refundable. No withdrawals are permitted after November 1^st for any student enrolled in the academic term and all tuitions will be due for scheduled payment as of November 1 regardless of attendance. Tuitions already paid are non-refundable regardless of attendance.

Tuition is based on yearly enrollment, September through June. Yearly tuition is payable in three installments September, October and November, due on or before the first class of each month by automatic billing only (first and last month charged September 1 for monthly financing plan).

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. There are no refunds for missed lessons.

Absences and planned and unplanned closures have been considered. 🛈

There is a $50 annual registration fee when enrolling for the academic term. There is a $50 withdrawal fee to withdraw from any registered class after the start of classes in September. Registration fees are non-refundable.

No withdrawals are permitted after November 1st for any student enrolled in the academic term. There are no refunds for tuitions paid.

Tuition for closed classes is based on yearly enrollment, September through June. Yearly tuition is payable in three installments September, October and November, due on or before the first class of each month by automatic billing only. 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. There are no refunds for missed lessons. The balance of the school year tuition is due according to your original payment plan regardless of class attendance.

For recital participants, a costume deposit of $50 per costume is due upon registration in September. The remaining costume balance will be due on or before November 15th. Students must purchase their own tights and shoes in advance of dress rehearsal and picture day. Failure to comply with dress code and costume requirements may result in exclusion from dress rehearsal, picture day and recital.

Tuition is structured for the school year calendar: holidays, closures and absences have been considered.

There is a babysitting charge of $2 per minute if a child is left at the studio 10 minutes beyond their class dismissal.

Classes other than tots and baby ballet are drop-off. Parents wishing to observe class may make an appointment during designated observation weeks for in-studio or virtual observation. Parents are not permitted to record class without explicit permission from the studio.

Sign below to indicate that you have read and are in agreement with the terms outlined above. 🛈

Click Yes acknowledges that you accept the terms, conditions and policies of Integral Ballet as stated above. *

Yes I Accept

No I Do Not Accept

Dance Class Attire for Girls:
Ballet Level 1-5: Black leotard and Pink tights for Level 1,2 and 3 and appropriate colored ballet belt.
Black leotard and either Pink or Black stirrup tights, Level 4, 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.

Jazz and Tap: convertible tan tights and tan shoes for performances (ballet dress code takes precedence for class).

Contemporary & Acro: stirrup tan tights and tan foot undeez or barefoot for performances (ballet dress code takes precedence for class).

Dance Class Attire for Boys:

Ballet Level 1-5: Black dance pants or shorts and neatly fitted white tee shirt. Black or white ballet slippers. Long hair should be pulled back. Dancers performing in our yearly recital and other productions are required to purchase the appropriate costumes through Integral Ballet.

Jazz, Tap, Contemporary and Acro: see ballet dress code (barefoot or foot undeez for contemporary and acro)

Recital and Costumes:

Dancers performing in our yearly recital and other productions are required to purchase the appropriate costumes through Integral Ballet. Costumes may require minimal sewing and alteration. Final costume payment is due by November 1st. Costume deposits and final payments are non-refundable. There will be a dress rehearsal for recital in the spring. Dates are to be determined during the school year. Students are not required to participate in yearly recital.

Rules and Policies:
Trial and placement classes and series are available as outlined on the tuition schedule during summer session and when otherwise available in the spring. Not all classes are open to trial students. Integral Ballet reserves the right to drop registrant from enrollment without refund due to nonpayment, disruptive behavior, excessive absences, improper attire. Classes with five or less students are subject to shortening. Class and level placement is at the discretion of Integral Ballet staff. No gum chewing, food or street shoes are permitted in the studio. Early childhood students must be toilet-trained. Family and friends are not permitted in studio unless invited and announced. Students must wait inside the building while waiting for parents to pick up.

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 authorize Integral Ballet to publish photographs taken of me or my child for publicity purposes. Neither the child, nor I, will receive compensation for published photographs. I agree to the tuition payment terms listed above and am responsible for payment (all accounts must be paid in full by November1st). 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, including exposure to illness such as Covid-19. In such event, I further agree that the cost of such medical services shall be borne exclusively by myself. I agree to temperature checks upon entering the facility. 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. Type your name in the box below as your E-signature which acknowledges your agreement with the above. *

Click Yes acknowledges that you accept the terms, conditions and policies of Integral Ballet as stated above. *

Yes I Accept

No I Do Not Accept