Summer Dance Registration Form

Please see our Summer Dance Flyer under the heading SCHEDULES. Below is the brief description of each class and the registration form. Please call the studio with any questions.

 

July 6 – 9, 2015 (9 – 12 noon) Monday – Thursday
Summer Dance Days Tuition: $150
Ages: 4 – 6 & 7 – 10 ( Two rooms)
Both workshops include age appropriate dance, games, snacks, crafts and more!!!
Thursday Performance @ 11:30
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July 13 – 17, 2015 Monday – Friday
One Week Dance Intensive
Advanced Intermediate
9:30 – 11:00 Ballet 9:30 – 10:30 Modern/Contemporary
11 – 11:45 Repertory* 10:30 – 11:45 Musical Theater Jazz
11:45 – 12:10 Lunch Break 11:45 – 12:10 Lunch Break
12:15 – 1:30 Jazz 12:15 – 1:45 Ballet
1:30 – 2:30 Modern/Contemporary 1:45 – 2:30 Repertory
Tuition: 1 Week Full Days – $300; 1 Week ½ days – $150 ___________________________________________________________

July 22, 23, 24 Wednesday, Thursday, Friday
Gymnastics/Tumbling Clinic for Boys & Girls Tuition: $90
Intensive personal coaching; class size limited to 6 (ages 6 & up)
10 – 12 noon: Beginner/Intermediate 12 noon – 2 pm: Intermediate/Advanced
Forward/backward rolls, splits, standing backbends, Cartwheels, round-offs, front/back walkovers,
handstands, cartwheels, front walkovers back handsprings, combination skills
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Non-refundable $30 deposit due by June 6. Balance due prior to participation at the first class.

Child’s Name: ___________________________________________________ D.O.B.:____________________________________

Parent’s Name: __________________________________________________

E-Mail: ________________________________________________________

Mailing Address: _________________________________________________
Street Town Zip Code:_____________________________________________

Home Phone: __________________________________________________

Cell: _______________________________________________

Please list any allergies, disabilities or physical limitations: _____________________________________________________

Please specify class(es) selected: _______________________________________________________________________________

Release of Liability
I release the officers, employees and agents of The Ballet Barre Performing Arts School from any and all liability or responsibility for injury or personal loss which might occur while participating at classes, rehearsals or workshops. I am aware of the risks of participation, which include, but are not limited to, the possibility of sprained muscles and ligaments, broken bones and tendonitis. I verify that I will be responsible for any medical costs that my child incurs as a result of my participation.
Release of Photographs
I understand The Ballet Barre prints photographs of students for advertising purposes in brochures, telephone directories, newsletters, newspapers and the web. I release my child’s image for filming and photography to The Ballet Barre.

Please indicate that you have read and agree to abide by The Ballet Barre’s policies regarding liability and photography. If you have any questions, please speak to the director for further clarification before signing.

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Participant’s Signature (If under 18 years of age, parent’s signature) Date

Please complete and mail with deposit to The Ballet Barre, 253 Newton Sparta Rd., Newton, NJ 07860

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