Burlington School of Classical Ballet

EVENTS
	La Bayadère Cinderella Coppelia Don Quixote Giselle Nutcracker Suite Swan Lake La Fille Mal Gardee

BALLET LINKS
	The National Ballet of Canada New York City Ballet English National Ballet The Kirov Ballet

Registration Form

Fees are based on a 36-week season. Ten post-dated cheques are required when registering. Please date each cheque the first of every month from September 1 to June 1. A $25.00 non-refundable registration and processing fee must accompany registration form. There is an $80.00 costume deposit due Sept. 1 Fee Schedule

Ballet Dancer
Student's Name
Date of Birth
Address
City
Postal Code
Name of Parent/Guardian
Parent/Guardian Telephone	(home) (cel)
Email
Course Desired
Ballet
Pointe
Please check classes and fill in class detail: (Day and Grade)
Additional Information
Waiver I hereby authorize the staff of Burlington School of Classical Ballet and its associates to act for me according to their best judgment in any emergency requiring medical attention, and I hereby waive and release Burlington School of Classical Ballet and its associates from any and all liabilities for any injuries or illnesses incurred while attending classes at the school, on the school premises, or during out-of-school performances.
Is there any medical information we should know about?
How did you find out about us?
Health Card Number

A month's notice or payment for that period is required if a student wishes to discontinue classes. There will be a $15.00 charge for NSF cheques.

Fee Schedule

Burlington School of Classical Ballet
3507 Mainway, Burlington, ON Canada L7M 1A9 (905) 332-4129 -- info@bballet.com
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