summer ballet classes & intensives registration form · summer ballet classes & intensives...
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SUMMER BALLET Classes & Intensives
REGISTRATION FORM
328 East 61st Street, Second Floor, New York, NY 10065
917-281-1030 Studio / 917-281-1032 Fax / 212-204-6348 www.theballetclub.com [email protected]
CHECK Class type:
PRIVATE INTENSIVE, AGES 7-18 yrs TBD
PRIVATE LESSONS, AGES 7-18 yrs TBD
CHILDREN’S CLASS, AGES 2 - 8 yrs TBD
ONLINE CHILDREN’S BALLET CLASSES FIRST TERM: JUNE 13 - JULY 18
PRIVATE INTENSIVE: $1,000 per week; $275 per day PRIVATE LESSON: $150 per hour CHILDREN’S CLASS: $50 per class; $ $350 per group of 8 classes; $425=10 classes **Discount available for siblings
ONLINE BALLET CLASSES:
$125 FOR FIVE WEEK SUMMER SESSION
_____Credit Card (MC, Visa, Amex): Name on Card: ________________________________
Amount: $ __________ Card #: ________________________________Exp. Date: _________
CV#: __________ Signature: ______________________________________________________
Billing Address: ___________________________________City: ________________State: ____
Zip code: ____________ ------------------------------------------------------
Student Name: _______________________________________ Birthdate: __________________
Parent/Guardian Name: __________________________________________________________
Home Address: ___________________________________City: ________________State: _____
Zip code: ______________
Phone #1: ______________________________ Phone #2: ______________________________
E-Mail: ____________________________________________________________________________
Caregiver Name: _______________________________Cell #: __________________________
How did you hear about The Ballet Club?
IMPORTANT: FOR SUMMER TERMS NO REFUNDS ARE ISSUED AFTER MAY 31, 2020.
Return your completed registration form and payment to The Ballet Club 328 East 61st Street, Second Floor New York, NY 10065
328 East 61st Street, Second Floor, New York, NY 10065
917-281-1030 Studio / 917-281-1032 Fax / 212-204-6348 www.theballetclub.com [email protected]