County Ballet Student Registration Fall 2010
2232 Old Emmorton Road, Bel Air, MD 21015 - (410)-515-0031 * (410)-569-0316
Student’s Name:
Date of Birth: Present Age:
Parent/Guardian’s Name:
Street Address:
City: ZIP:
Telephone:(H) (W) (C)
E-Mail Address:
How did you learn of County Ballet?
Other:
Liability Agreement: I agree that I will not hold a faculty member or an employee of County Ballet, liable for injuries sustained or for illnesses contracted by me/my child while a student/participant at County Ballet. I agree to indemnify County Ballet and its faculty for all liabilities, costs, and judgments arising for acts of omissions of the undersigned, which result in injury or damage to any person or party. I further agree that I will not hold County Ballet or any faculty member responsible for the loss or damage of personal property during participation.
TUITION MUST BE PAID IN FULL AT TIME OF REGISTRATION.
Checks, Cash and Credit Cards accepted. There are no transfers, credits, or cash refunds for classes unless medical certification is presented.
Uniform Agreement: All students should have the required uniform within two weeks of starting classes and maintain a proper uniform throughout the semester.
I have read and understand the refund policy, uniform agreement and waive all claims of liability.
Signature:
Date:
! Dancers image may appear in ads? If you agree, please initial here:
! DO NOT USE dancers image on any advertising
Textbook is required if registering for Ballet level A/ B, Pre Pointe Ballet, Foundation.
Fall Classes start September
2232 Old Emmorton Road Bel Air, MD 21015
410-515-0031 * 410-569-0316
Fall 2010 Tuition Lower Division
Registration fee is per family paid one time per year.
Tuition rate is based on the amount of time dancing per week.
Rate covers 15 classes.
45 min/ .75 hrs $175- 60 min/1 hrs $185
- 75 min/1.25 hrs $195
- 90 min/1.5 hrs $235
- 105 min/1.75 hrs $245
- 120 min/2 hrs $270
- 120 min/2 hrs $270
- 135 min/2.25 hrs $300
- 150 min/2.5 hrs $310
- 165 min/2.75 hrs $320
- 180 min/3 hrs $330
- 195 min/3.25 hrs $350
- 210 min/3.5 hrs $360
- 225 min/3.75 hrs $370
- 240 min./ 4 hrs. $380
- 255 min/4.25 hrs $390
- 270min. / 4.5 hrs. $400
- 285 min/4.75 hrs $410
- 300 min/5 hrs $425
- 315 min/5.25 hrs $430
- 330 min/5.5 hrs $445
- 345 min/5.75 hrs $455
- 360 min/6 hrs $465
- Unlimited Classes $490
Registration fee - $20.
Multi class and family discounts are available, please call for exact price.
Drop in prices:
30 min class $13
45 min class $14
60 min class $15
75 min class $16
90 min class $18
105 min class $19
120 min class $21
Adult 10 Class Drop In Card:
10/45 min class $120
10/60 min class $130
10/75 min class $140
10/mixed classes $135
Adult drop in cards are good for the entire semester.
Registering on line? Please contact the instructor :Plauer2@verizon.net
to assure proper placement. Thank You
Tuition/Registration
