CBA Registration Form

Student Information

First name *

Last name *

Student Date of Birth *

Student Age *

Street Address *

City *

State *

Zip code *

Student Level/Class

Studio Location

Woodbury

St. Paul

Class/Day

Tuesday

Thursday

*Parent/Guardian Information

1) Parent/Guardian Name *

Cellphone Number *

Email Address *

Workplace (this helps Ballet Minnesota with funding requests)

2) Parent/Guardian Name

Cellphone Number

Email Address

Workplace (this helps Ballet Minnesota with funding requests)

Other Information

Academic School

Phone Number

Local Newspaper

Section

Agreement to expectations and terms

Financial:
1. Registration, Tuition & Support Fee are due in full at registration. A student is not considered registered until a payment for the full initial costs are received at CBA. Payments should be made immediately within the first week of online registration. Monthly payments are available for level 2 and up. Tuition is based on a yearly program from September thru May. The tuition is broken down in cost per session.
2. CBA depends on volunteers. To that end there is a CBA organizational support fee of $50.00/year for Pre-ballet through Level 3, or $75.00/year for Level 4 through Level 8. If a parent volunteers 4 or more hours of help for a production, $25.00 will be credited back toward tuition. Fee will be paid at annual registration.
3. A $50.00 non-refundable annual registration fee is required to hold a place in class. Fee will be paid at annual registration.
4. Level 4 & Up: By signing this registration form you commit to a yearly contract with CBA.
5. Monthly & full session installments are due the first Saturday of each month and must be paid before a student attends class.
6. If a child registers for classes and then takes only one or a few classes during either Fall, Winter or Spring session, the full tuition for the session will be charged. There will be no refunds.
7. Refunds only for classes canceled by CBA.
8. Currently, credit card payments are subject to a 5% convenience fee.

Medical:
1. Please inform staff of any medical conditions which might affect class participation.
2. The parent or guardian agree that in case of medical emergency, after every reasonable effort has been made to contact them, to have the physician secured by the adult in charge of activities to hospitalize, secure treatment for and to order injection, anesthesia or surgery for the child. In the event any such treatment is not covered by insurance applicable to the activities, the parent / guardian will pay the expenses incurred in such emergency treatment.

Other Considerations:
1. Classical Ballet Academy, employees or guests shall not be held responsible for injury or illness to a student while student is attending classes or performing with CBA or Ballet Minnesota.
2. A student must be registered as a CBA student at the time of a dance production in order to perform in that production.
3. Any photos taken by CBA or Ballet Minnesota of a CBA student, while enrolled in CBA (during class, rehearsal or performance), may be used by CBA or Ballet Minnesota for advertising, promotion, publication purposes.
4. A student's advancement, performance and roles are solely at the discretion of the directors.
5. If a student is late for class, teacher permission is required for child to enter class.
6. By signing below you give your consent to allow Classical Ballet Academy of Ballet Minnesota to use class, rehearsal or performance photos, which may include your child, to be used by CBA or BMN for marketing purposes.

Signature *

Clear

Parent / Guardian: I acknowledge that I have read the above rules and by signing here I agree to the conditions of these CBA rules & regulations as stated above. ( Form must be signed in order to be registered at CBA)

Payment Information

Make sure to include the following with registration:
- one time yearly Registration Fee: $50.00
- one time CBA Organizational Support Fee: $50.00 (Pre-ballet-Level 3) or $75.00 (Level 4-8); (volunteers: $25 credited back to tuition)
- full tuition (level 2 and up may pay in 3 payments the 1st Saturday of each month)

Payment Method *

Check

Credit Card (subject to 5% convenience fee)

PLEASE NOTE: Currently, credit card payments must be made in person at the CBA front desk. Fully integrated online payments are coming soon (summer/fall 2016).

Please print out your confirmation email and/or make note of your total amount due, which includes 5% convenience fee. PLEASE NOTE: Currently, credit card payments must be made in person at the CBA front desk. Fully integrated online payments are coming soon (summer/fall 2016).

If you have multiple children enrolled, please calculate and apply the following discount:

Two children - 4%
Three children - 6%

Please make checks out to Classical Ballet Academy of Minnesota, and mail to or drop off at the St. Paul Lowertown studio:
249 East Fourth Street, St Paul, MN 55101

If you have multiple children enrolled, please calculate and apply the following discount:

Two children - 4%
Three children - 6%

Level 2 and up: Payment frequency *

Full tuition

Three installments (1st Saturday of every month)

Pre-Ballet: Amount due at annual first registration

$225.00

Level 1: Amount due at at annual first registration

$285.00

Level 2A full tuition: Amount due at annual first registration

$469.00

$444.00 with volunteer credit

Level 2A first installment: Amount due at annual first registration

$223.00

$198.00 with volunteer credit

Level 2B full tuition: Amount due at annual first registration

$469.00

$444.00 with volunteer credit

Level 2B first installment: Amount due at annual first registration

$223.00

$198.00 with volunteer credit

Level 3 full tuition: Amount due at annual first registration

$565.00

$540.00 with volunteer credit

Level 3 first installment: Amount due at annual first registration

$255.00

$230.00 with volunteer credit

Level 4 full tuition: Amount due at annual first registration

$635.00

$610.00 with volunteer credit

Level 4 first installment: Amount due at annual first registration

$295.00

$270.00 with volunteer credit

Level 5 full tuition: Amount due at annual first registration

$715.00

$690.00 with volunteer credit

Level 5 first installment: Amount due at annual first registration

$321.67

$296.67 with volunteer credit

Level 6 full tuition: Amount due at annual first registration

$755.00

$730.00 with volunteer credit

Level 6 first installment: Amount due at annual first registration

$335.00

$310.00 with volunteer credit

Level 7 full tuition: Amount due at annual first registration

$820.00

$795.00 with volunteer credit

Level 7 first installment: Amount due at annual first registration

$356.67

$331.67 with volunteer credit

Level 8 full tuition: Amount due at annual first registration

$910.00

$885.00 with volunteer credit

Level 8 first installment: Amount due at annual first registration

$386.67

$361.67 with volunteer credit

Pre-Ballet: Amount due at annual first registration

$236.25

$210.00 with volunteer credit

Level 1: Amount due at annual first registration

$299.25

$273.00 with volunteer credit

Level 2A full tuition: Amount due at annual first registration

$492.45

$466.20 with volunteer credit

Level 2A first installment: Amount due at annual first registration

$234.15

$207.90 with volunteer credit

Level 2B full tuition: Amount due at annual first registration

$492.45

$466.20 with volunteer credit

Level 2B first installment: Amount due at annual first registration

$234.15

$207.90 with volunteer credit

Level 3 full tuition: Amount due at annual first registration

$593.25

$567.00 with volunteer credit

Level 3 first installment: Amount due at annual first registration

$267.75

$241.50 with volunteer credit

Level 4 full tuition: Amount due at annual first registration

$666.75

$640.50 with volunteer credit

Level 4 first installment: Amount due at annual first registration

$309.75

$283.50 with volunteer credit

Level 5 full tuition: Amount due at annual first registration

$750.75

$724.50 with volunteer credit

Level 5 first installment: Amount due at annual first registration

$337.75

$311.50 with volunteer credit

Level 6 full tuition: Amount due at annual first registration

$792.75

$766.50 with volunteer credit

Level 6 first installment: Amount due at annual first registration

$351.75

$325.50 with volunteer credit

Level 7 full tuition: Amount due at annual first registration

$861.00

$834.75 with volunteer credit

Level 7 first installment: Amount due at annual first registration

$374.50

$348.25 with volunteer credit

Level 8 full tuition: Amount due at annual first registration

$955.50

$929.25 with volunteer credit

Level 8 first installment: Amount due at annual first registration

$406.00

$379.75 with volunteer credit

CBA Parents Contact List sign-up

Consent to sign up for CBA parents email and contact list--IMPORTANT for receiving communications about your student(s) class schedule, rehearsal schedule, performances, etc. *

Yes

No. Reason:No. Reason:

Please only opt out of this option in special circumstances, and provide a reason in the text box so we can work with you to set up an alternate method of communication about your student.

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