Prima Ballet School 2020/2021 Registration form

Family Information

Parent/Guardian Name #1 *

Parent/Guardian Name #2 *

Parent #1 Email Address *

Parent #2 Email Address

Parent #1 Cell Phone *

Parent #2 Cell Phone *

PARENT #1: I agree to receive email correspondence with regards to my child(ren)s enrolment. *

agree

PARENT #2: I agree to receive email correspondence with regards to my child(ren)s enrolment.

agree

Address *

City *

Province *

Postal Code *

Child Name #1 *

Child Name #2

CHILD #1: Date of Birth * +

CHILD #2: Date of Birth +

Child #1 Current Age *

Child #2 Current Age

Child #4 Current Age

Child #3 Current Age

Child Name #3

Child Name #4

CHILD #3: Date of Birth +

CHILD #4: Date of Birth +

Gender Child #1 *

Male

Female

Gender Child #2

Male

Female

Gender Child #3

Male

Female

Gender Child #4

Male

Female

If you are unsure which class to register you child(dren) for or have any questions please add them here and we will be more than happy to assist you.

August Tuesday in Studio Classes

CHILD #1: Full Time Enrolment

CHILD #2: Full Time Enrolment

CHILD #3: Full Time Enrolment

CHILD #4: Full Time Enrolment

Child #1 - Part Time Enrolment

Child #2 - Part Time Enrolment

Child #3 - Part Time Enrolment

Child #4 - Part Time Enrolment

I have read and understood the policies/procedures & code of conduct pages of the website. *

Yes

Please select your preferred method of payment for your monthly tuition? *

Post-Dated Cheques

Email Money Transfer

Cash

I understand that a $50 per student (no hst) non-refundable registration fee via Email Money Transfer is required within 24hrs upon submission of this registration form in order to secure my child(ren)s spot for classes. Please send all money transfers to admin@primaballetschool.ca and state your child(ren)s name(s) in the notes section. *

agreed