2024-2025 Season Registration

Registration Form

Student Name

First Name

Last Name

Student Age

Student Date of Birth

YYYY

Student Gender

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Phone

(###)

###

####

Additional Parent/Guardian

(consider another guardian who may be bringing your child frequently)

First Name

Last Name

Phone

(###)

###

####

Student Primary Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Additional Emergency Contact

Other than parent(s) - we will always contact parents or primary guardian first

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Allergies/Medical

Please list any allergies or medical conditions we should be aware of for your child

Intended class(es) to enroll

Please list classes intended to enroll, separated with a comma (ex. Pre-Ballet 1, Tap 1, Acro 1). If you are unaware of your child’s level for a certain class, please write just the style of dance (ex. Ballet, Tap, Acro).

Prior Training

*NEW STUDENTS ONLY* Please list any prior training student has had, and where the training has been obtained.

Payment Plan

*Monthly payments are a division of the entire season, which includes extra rehearsals during the spring and recital. No months are pro-rated for absence, holidays, weather-related absence, or any other reason. Makeups are offered for missed classes. *Annual payments include the months of September-May. *5% discount offered for annual payment

Policies

Type name to agree to the following policies: Tuition payments are final and non-refundable. Tuition payments are due by the 15th of the month. A $10 late fee is required if tuition is after the 15th of the month, New Students will pay a one-time $30 registration fee. Tuition payments and registration fees are final and non-refundable. A 3% service fee is included in online payments as well as credit or debit payments. Cash or check payments do not include this fee. There will be a $30 (per class enrolled) non-refundable costume deposit due with December’s tuition payment.

Liability Release

I, the student, or the parent or guardian of student, understand that participation in the physical activity of dance at the Fremont Ballet School has a possibility to result in injury. Now, therefore the undersigned agree as follows in consideration of said child being allowed to participate in such activities and in further consideration of the valuable physical training and development of coordination which result from such activities, the undersigned parents/ legal guardians voluntarily assume all risks of accident or injury to the person of said child and hereby release Lily Adams, Elizabeth Pietrykowski, Deb Lohr, their heirs, executors, administrators or assigns, and their designated substitute teacher from every claim, liability or demand of any kind for or on account of any personal injury sustained by said child and from and against of any claims the said parents/legal guardians may or might have on account of loss of services, medical or hospital expenses, or any other claims, debts, demands, actions or causes of action which may or might occur, either to said child or to the undersigned parents/legal guardians.

Photo Release

I grant to Fremont Ballet School, permission to use photographs of my child on the internet (i.e. Social Media, Fremont Ballet School website) and/or for promotional materials, such as brochures. I understand that any pictures used in this manner will not identify my child by name.

Questions or comments

View and Download the ‘24-‘25 Schedule!

Classes and age levels

Pre-Ballet I: Ages 3-4 (must be potty-trained)
Pre-Ballet II: Ages 4-5
Beginner Ballet I: Approx. Kindergarten aged
Beginner Ballet II: Approx. 1st grade aged
Beginner Ballet III: Approx. 2nd-3rd grade aged
Intermediate Ballet I: Approx. 3rd-5th grade (must be cleared by teacher & finished beginner 3)
Intermediate Ballet II: Admittance by instructor
Intermediate Ballet III: Admittance by instructor
Advanced Ballet (FBS Company): Admittance by instructor
Acro 1: Age 4+, beginners (must be potty-trained)
Acro 2: Admittance by instructor
Acro 3: Admittance by instructor
Tap 1: Age 4+, beginners (must be potty-trained)
Tap 2: Admittance by instructor
Tap 3: Admittance by instructor
Jazz: Must be in Intermediate Ballet Level III or higher to enroll
Contemporary: Must be in Intermediate Ballet Level III or higher to enroll
Adult Ballet (Wednesday): Entry Level/Beginner/Advanced Beginner
Adult Ballet (Saturday): Intermediate/Advanced
Adult Tap: Entry Level/Beginner/Advanced Beginner