THE SCHOOL OF GREENSBORO BALLET 200 N. Davie Street, Box 12, Greensboro, NC 27401 ~ Phone (336)333-7480 ~ Fax (336)333-7482

REGISTRATION FORM AND CONTRACT AGREEMENT Please read the contract on the reverse side of the registration form carefully, complete the form below and sign the back including the spaces for your initials. Please PRINT legibly.

Please enroll my child for the 2018-2019 term, to include vacations and snow days. I agree to pay the contract tuition according to the payment schedule as indicated:

STUDENT’S NAME____________________________________________________________________

Address________________________________________ City_____________________ Zip_________

Age_______ Birth date_______________ Academic School___________________________________

Main phone #______________________ Primary Email______________________________________

HOW DID YOU HEAR ABOUT OUR PROGRAM?

___Returning Student ____Summer Student ___ Friend ___ Internet Search ___On-line Ad

____Facebook/Twitter ___ Print Ad Other________________________________________________

Please list any medical conditions or learning disabilities that your child’s teacher should be aware of: __________________________________________________________________________________ __________________________________________________________________________________

DESIRED CLASSES: Children’s Dance______________________ Ballet_________________________

Pointe______________ Modern______________ CT Program__________

Classes per Week________________ Registration fee: $___________

Preferred Payment Schedule:

___ Year at $___________ ___Semesters at $__________ ____ Monthly at $ __________________

Please fill out any information that is different than Student:

MOTHER’S NAME_______________________________________ Home phone__________________

Address_______________________________________ City_____________________ Zip_________

Employer_________________________________________ Work phone______________________

E-mail____________________________________________ Cell phone________________________

FATHER’S NAME_______________________________________ Home phone___________________

Address______________________________________ City_____________________ Zip__________

Employer_________________________________________ Work phone______________________

E-mail________________________________________________ Cell phone________________________

Please send all billing and informational mailings to: _____Mother _____Father _____Both Other: _____________________________________________________________________________

STUDENT ENROLLMENT CONTRACT I UNDERSTAND AND AGREE TO THE FOLLOWING: (Please put your initial by each number after reading and sign below.)

_____ 1. ENROLLMENT IS UNDERSTOOD TO BE FOR THE ENTIRE SCHOOL YEAR AUGUST 27, 2018 THROUGH MAY 25, 2019 with the goal of completing the syllabus for each level over the 9 month period. _____ 2. TUITION PAID TO THE SCHOOL IS NON-REFUNDABLE. Tuition credits will be considered only in the cases of prolonged

absence due to serious injury or illness substantiated by medical documentation. _____ 3. TUITION MUST BE PAID IN ADVANCE AND MUST BE KEPT CURRENT. Tuition is paid on a semester or monthly basis, or it

can be paid in its entirety by August 27, 2018. Payment for each semester/month must be paid by the first day of the semester (SEE DATES BELOW) or month. The School of Greensboro Ballet will email you a bill before each semester/month begins. We will also remind you of tuition due dates in our monthly newsletters, emails and on the bulletin board in our hallway. If tuition is over 5 working days late, a $25 late fee will be added to the tuition owed, and the student will not be allowed to take class until the tuition issue is settled. There is a $30 fee for all returned checks. If other payment arrangements need to be made, please communicate with the office.

_____ 4. NO REFUNDS WILL BE MADE FOR MISSED CLASSES. The School will make every effort to allow a student to make up

missed classes but cannot guarantee this privilege. Missed classes may be made up only within the terms of this contract and only by actively enrolled students. Please call the office to make arrangements for any make-up classes.

_____ 5. FOR WITHDRAWAL PURPOSES:

a) The School term is divided into two (2) semesters: August 27 – January 19 January 21– May 25 b) To withdraw from class(es) for an upcoming semester, written notice must be received by the Registrar of the School 10

WORKING DAYS BEFORE THE FIRST DAY of the semester for which the student wishes to withdraw. If this written notice is not received on time, you will be responsible for that trimester tuition and will be billed accordingly.

_____ 6. Registration Fee is $40 for students and $15 for each additional student, within the same family. Registration Fee is due

with Registration form and is non-refundable. _____ 7. IF A CLASS DOES NOT MEET MINIMUM ENROLLMENT REQUIREMENT, THIS CONTRACT IS CONSIDERED NULL AND VOID.

Every effort will be made by the School to find an alternate placement for the student named herein, but the School cannot guarantee such placement. In the event of under enrollment, all moneys paid for the class will be refunded.

_____ 8. STUDENTS MUST ABIDE BY THE STUDIO RULES AS SET FORTH IN THE STUDENT HANDBOOK. Failure to do so may result

in dismissal for cause. Dismissal for cause may occur as a result of actions other than, and in addition to, those specifically stated in the Student Handbook.

_____ 9. CLASSES ARE NON-TRANSFERABLE and may be taken only by the previously named student. _____ 10. USE OF NAME OR LIKENESS: Greensboro Ballet shall have the right to use the name, photograph, video tape, voice, or

other likeness of the Dancer and to exhibit the same through any medium whatsoever during the term of this agreement or at any time in the future for advertising, promotional or commercial purposes. All such reproductions shall be exclusive property of Greensboro Ballet.

_____11. RELEASE: As additional consideration for the student’s instruction, the undersigned hereby releases the Greensboro

Ballet from liability for injuries to the person or property of the student which may occur while participating in the activities of the School or affiliated Company. The undersigned further agrees to indemnify the Greensboro Ballet in the event any claims are asserted against it arising from the student’s participation in the activities of the School or affiliated Company.

I, the undersigned, consider this contract legal and binding. ________________________ _____________________________________________________ Date Signature of Parent or Guardian

School of Greensboro Ballet - Class Schedule for 2018/19

CHILDREN'S DANCE PROGRAM:

Children's Dance 1 (age 3) Tues., 3:00-3:45 (CD1-A) Wed., 4:30-5:15 (CD1-B) Sat., 9:15-10:00 (CD1-C) Children's Dance 2 (age 4) Mon., 4:30-5:15 (CD2- A)

Thurs, 3:00-3:45 (CD2- B) Sat., 10:15-11:00 (CD2-C)

Children's Dance 3 (age 5) Tues., 4:00-4:45 (CD3-A) Thurs., 5:00-5:45 (CD3-B) Sat., 11:15-12:00 (CD3-C)

Children's Dance 4 (age 6) Tues., 5:00-5:45 (CD4-A) Thurs., 4:00-4:45 (CD4-B) Sat., 12:15-1:00 (CD4-C)

BALLET PROGRAM:

Elementary Ballet 1 (age 7, minimum) Mon., 3:30-4:30 (EB 1-A) or Thurs., 5:00-6:00 (EB1-B)

Elementary Ballet 2 (age 8+ with 1 year exp.) Mon. & Wed., 3:30-4:30 (EB 2-A) or These students come 2 times/week Mon. & Wed., 5:30-6:30 (EB 2-B)

Elementary Ballet 3 (age 9+ with 2 years exp.) Mon. & Wed., 3:30-4:30 (EB 3-A) or These students come 2 times/week Mon. & Wed., 4:30-5:30 (EB 3-B)

Intermediate Ballet 1 Tues. &Thurs., 4:30-6:00 (IB-1) (Min 3 years exp. & faculty recommendation) These students come 2 times/week

Intermediate Ballet 2 Mon. & Wed., 4:30-6:00 (IB-2) (Min. 4 yrs exp. and faculty recommendation) These students come 2 times/week, plus additional times for pointe & modern as advised by faculty (See those schedules)

Intermediate Ballet 3 Mon. & Wed., 6:00-7:30 ( IB-3) (Min. 5 years and faculty recommendation) These students come 2 times/week plus additional times for pointe & modern as advised by faculty (See those schedules)

Advanced Intermediate Ballet Tues. & Thurs., 6:00-7:30 (AI)

(Min. 6 years and faculty recommendation) Sat. 10:30-11:30

These students come 3 times/week plus additional times for pointe & modern as advised by faculty (See those schedules)

Company Trainee/Apprentice Mon. & Wed., 5:30-7:00

(See schedule for CT pointe & modern) Tues. & Thurs., 6:00-7:30

MODERN PROGRAM Students who want to take Modern only may be admitted into any of these classes based on their experience and expertise. Please contact John Dennis, School Director (mrdennis@greensborballet.org) for a placement audition.

Modern A Tues. 6:30-7:30 (Lower Intermediate level, Current Intermediate Ballet 1

& Intermediate Ballet 2 Students)

Modern B Sat. 11:30-12:30 (Upper Intermediate level, Current Intermediate Ballet 3

& Advanced Intermediate Ballet students.)

Modern C Sat. 10:30-11:30 (This class is for Company Trainees, but any dancer 14 & up

can be admitted to this class if recommended by faculty after completing a placement audition)

POINTE PROGRAM Students must be recommended for any of the pointe classes by their teacher. If you are new to the School of Greensboro Ballet, you will need to contact John Dennis, School Director (mrdennis@greensborballet.org) for a placement audition before signing up for any of the pointe classes. Pre-Pointe Mon. & Wed. 6:30-7:00pm (Must have been recommended by School Director.) Meets twice a week for ½ hour class each.

Pointe- Elementary Mon. & Wed. 7:30-8:00pm

Pointe- Intermediate Tues. & Thurs 7:30-8:30pm Pointe - Company Trainee Tues. & Thurs 7:30-8:30pm Sat., 11:30am-12:30pm (includes Variations)

Teen/Adult Beginner Classes *6 week sessions*

Teen/Adult Beginner Class Tue. 7:30-8:30pm

Teen/Adult Intermediate Class Wed. 7:00-8:00pm

Classes begin on August 27, 2018 through May 25, 2019 and enrollment is

understood to be for the entire year.

HOW TO REGISTER FOR CLASSES:

1. 1. Register by phone, mail, or in person.

2. 2. Pay registration fee(s) when you register.

3. 3. Sign all forms and waivers before your first class.

REGISTRATION FEES:

Students enrolling will be required to pay the registration fee at the

time of enrollment (with Registration Form).

*$40 for 1st student

*$15 for each additional family member

HOW TO MAKE TUITION & OTHER PAYMENTS:

Pay by cash, check, or credit card (Visa, MasterCard, American Express,

or Discover). Auto-draft is available, as well.

Payments can be given to the Registrar in the 1st office, mailed in, or

credit cards can also be taken over the phone. We strongly suggest that those

paying Monthly set-up an Auto-Draft payment schedule (see other page).

On your registration form, please indicate how you would like to pay for

your yearly tuition: Annual, Semester, or Monthly. We will email you a bill

before each semester/month begins. Semester tuition will be due on the first day

of each Semester (see registration form for dates). Monthly tuition is due on the

first day of each month (unless other arrangements are made).

If tuition is over 5 working days late, a $25 late fee will be applied and

the student will not be allowed to take class until the tuition issue has been

settled.

A $30 fee will be charged for any returned checks.

**If other payment arrangements need to be made at any point, please

communicate with the office at 336-333-7480.

STUDENT CONCERT FEES:

Every year, the School of Greensboro Ballet saves families hundreds of

dollars by not requiring students to purchase flashy costumes for the year end

performance. Children's Dance students (ages 3-6) may keep their costume

following their performance. Student concert fees are used to offset the cost of

facility rental, stage manager, lighting designer, crew, program printing, etc.

Children's Dance students

$35 for first child and $25 each for additional child

Ballet 1 thru Company Trainee or Modern only

$60 for first child and $40 for each additional child

Families w/students in Children’s Dance AND B-1 or higher

$60 for first child and $25 for each additional child

*Fees will be due on Feb. 1 and are non-refundable.

*Includes use of school's costumes.

*Includes free admission for you, your friends & family!

NO REFUNDS: Registration fees, Tuition and Concert fees are

non-refundable. See Student Enrollment Contract for more info.

SCHOOL OF GREENSBORO BALLET FEE SCHEDULE

REGISTRATION FEE (Due with Registration Form)

$40 FOR FIRST FAMILY MEMBER & $15 FOR EACH ADDITIONAL FAMILY MEMBER

TUITION FOR SCHOOL YEAR:

CLASSES PER WEEK ANNUAL SEMESTER MONTHLY

1 45 MINUTE CLASS $450 $225 $50

1 60 MINUTE CLASS $540 $270 $60

2 60 MINUTE CLASSES $1024 $512 $114

2 90 MINUTE CLASSES $1352 $676 $150

2 90 MIN. & 1 60 MIN. $1572 $786 $175

2 90 MIN. & 2 60 MIN. $1778 $889 $198

Youth Ensemble Program $1957 $978 $217

Company Trainee Program $2272 $1136 $253

Unlimited Family $2492 $1246 $277

LATE FEES: There is a $25 late fee applied if tuition

is over 5 working days late. If you choose to pay

Monthly, you will be charged the $25 late fee every

month you pay your tuition late. If you choose to pay

by Semester, you will be charged the late fee only

once per Semester.

AUTO-DRAFT: For your convenience and to avoid

late fees, we offer an Auto-draft payment option (see

other page).

DISCOUNTS: We offer a discount for families with two or more students enrolled for the entire School year. Please call the office to get your discounted multi-student tuition rate.

ADDITIONAL BALLET CLASSES

Some of our ballet students want to take additional ballet classes beyond what has been suggested in

their schedule. If you are interested in taking extra classes, you must first get permission from your

primary ballet teacher and then you can purchase a 10-class “Extra Class Card” for $60, or $6 per class. Additional cards may be purchased throughout the

year from the registrar.

**Six week session classes are $75 per session.

(Teen/Adult Beginner & Teen/Adult

Intermediate classes are a 6-week session class

and must be paid upfront)**

Automatic Credit Card Payment Authorization

I hereby authorize Greensboro Ballet to charge my credit card on the dates specified below:

Card Type (Please circle one) Master Card Visa Discover American Express

Card Number_____________________________________________

Expiration Date ______ /______ (month/year)

Security Code_______________

Card Holder’s Name (Print exactly as the name appears on the card) _____________________________

Billing Address of Credit Card _________________________________________________________

City____________________________________ State ______ Zip Code____________

Card Holder Phone Number _____-_____-_______

Card Holder Email _______________________________________

Check One:

______ One Annual Payment

______ Two Semester Payments (1st payment 8/27/18 2nd payment: 1/21/19)

______ Monthly Payments (You will be charged on the first day of the month: September-May)

If you would like us to auto draft the following fees, please check here:

______ Nutcracker Costume Fee, if applicable (9/29/18) _______ Student Concert Fees (2/1/19)

______ 2018/2019 Registration Fee (due upon registering)

I understand that Greensboro Ballet will charge my credit card account as indicated above. I understand that if I wish to discontinue

monthly/semester charges for any reason, I must provide written notice to Greensboro Ballet at least 10 business days before the

start of the following month/semester:

Card Holder Signature ___________________________________________________

Date ___________________________________________________

Child’s Name ____________________________________________________