Registration for Children's Classes: (Adults, see Schedule page for reg. information)

For your convenience we have included a registration form.

• This form can be printed and completed by hand. (Close this page after printing to return to our site.)
• Sign it and return it to our office with your non-refundable $40 registration fee and prepayment of  May, 2009 tuition.
• Hard-copy registration forms are also available by calling our office at 404/378-3388.
• Class confirmation will be mailed to you.
• Classes begin Tuesday, September 2, 2008.

Student's Full Name (first last): _______________________________

Street Address: ______________________ Apt#: ____ City: ____________________ GA Zip: _________

Home Phone: ________________ Birthdate: ____/_____/_____ 

E-mail address:__________________________ Cell Phone: ________________

Exact Age as of 9/2/08: _______years _______months. Sex: _____M _____F

Name of School:________________________________ Grade as of 9/08______

Previous Dance Training (Be specific. Give names of schools, number of years, style of training): _____________________________________________________________________________

Started at DSOB what year? ______

Special Physical Conditions (poor sight, hearing loss, etc.):
_____________________________________________________________________________

Other Extracurricular Activities: ___________________________________________________

Emergency Contact (other than parents): ___________________________Phone: _____________

Names of other immediate family members registered with our school:
____________________________________________________________________________

How did you find out about our school?
_________________________________________________________

Any other information our school personnel should know about this student:
_____________________________________________________________________________

Father□/Stepfather□: _______________________________

Street: _______________________ Apt#: ____ City: ______________________ GA Zip: __________

Home Phone: _______________Business Phone: ________________

E-mail address:_________________ Cell Phone: __________________________ 

Occupation: ____________________ Employer: __________________________

Mother□/Stepmother□: ___________________________________

Street: _______________________ Apt#: ____ City: ______________________ GA Zip: __________

Home Phone: _______________ Business Phone: _______________

E-mail address:__________________ Cell Phone: __________________________ 

Occupation: ____________________ Employer: __________________________

Classes I am registering for:

• I have included a $40 registration fee plus tuition for May, 2009 with this form.
• I understand that I am registering for the nine-month season, September 2008 through May 2009.
  If I must withdraw after the school year begins, one month's notice in writing is required in order to receive a refund of my advance tuition.
• I understand that my costume fee payment ($65 for theater performers; $45 for studio demonstration performers) is due by October 1, 2008.
• I understand my payment plan shown above and will make timely payments.

• I agree to allow my child to be photographed for Decatur School of Ballet photos. I understand that no release of personal information such as name or address will be made. I release Decatur School of Ballet from any damages in using photographs of my child.

• I agree to abide by the policies of Decatur School of Ballet.

Signature (Person Responsible for Payment): _______________________________ Date Signed: ____/____/____

Please fill in the following information if someone other than parent or guardian is responsible for payments.

Name of Person Responsible for Payment: _______________________________

Address: _______________________________________
______________________________________________
______________________________________________

Home phone: _______________ Business phone: ________________