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Pre Ballet 2 Age 3-4
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Elementary 2 Age 7 – 9
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Elementary 4 Age 13 up
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Menu
Home
Free trial class
Enroll Now
Programs
Children’s programs
Pre Ballet 2 Age 3-4
Elementary 1 Age 5-6
Teen programs
Elementary 2 Age 7 – 9
Elementary 3 Age 10 up
Elementary 4 Age 13 up
Lessons
Escuballet
Our team
Events
Gallery
Contact us
Registration Form
Registration Form
ESCUELA CUBANA DE BALLET COOPER CITY
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STUDENT INFORMATION
*
Date of Birth
*
Age
School Grade
Address
Mother's information
*
Mother's phone number
*
Mother's email address
*
Father's Information
*
Father's phone number
*
Father's email address
*
EMERGENCY CONTACT
*
First
Last
Current Medications:
Known Allergies:
Insurance Carrier:
Medical Emergencies:
*
I Consent
I Do Not Consent
To Whom It May Concern: If, in the professional judgement of a qualified doctor or other professional(s) of an emergency treatment facility, medical assistance or treatment is required during the Escuela Cubana de Ballet school year, my submission of this form authorities such treatment/assistance.
Disciplines:
*
Classical Ballet
Latin Dances
Card Agreement:
*
I Consent
This signed registration form which enrolls your child in the Escuela Cubana de Ballet, is a contract for a period of 11 months. Tuition is based on the school year, August through June with 11 automatic monthly payments.
Installment payments to be paid on the 1st of each month automatically. No bills are sent monthly. The non refundable installment tuition is the same amount for each month, no matter the number of class days in the month. Escuela Cubana de Ballet does not prorate for missed days. A non-refundable $50 registration fee applies to all new students. Tuition must be paid by credit/debit card automatically and is due the 1st of every month. If for any reason, you request to break this contract, Escuela Cubana de Ballet reserves the right to hold the last month tuition payment which is paid at the time of registration.
School Policies:
*
I have read and understood below
Parents, students, and their families are required to read and follow all Escuela Cubana de Ballet policies found at
www.escuballet.com
COVID-19:
*
I have read and understood below
If I or anyone in my household has encounter someone with COVID-19 or have symptoms of COVID-19 agree to stay at home until symptoms disappear.
Release of Claims and Treatment Authorization:
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I completely understand all their terms.
I have read and understood the below I am aware that Ballet, Salsa (dance in general) and fitness exercises associated with it, place an unusual stress on the body and a risk of physical injury. I assume the risk and agree that the Escuela Cubana de Ballet will ensure the safety of the children during class hours and when in the school but shall not be held liable in any way for injuries sustained during attendance at the Escuela Cubana de Ballet or any related Escuela Cubana de Ballet functions.
Escuela Cubana de Ballet are not responsible for any student or parent/guardian on the property prior to, between or after classes and/or rehearsals. Escuela Cubana de Ballet are not responsible for any students and/or parent/guardians’ personal property or belongings or vehicle (and personal property there-in) at the school, theatres, or any related function venue (lost, stolen, or damaged). I am also aware that the tuition fees and list offer continues the same unless the cancellation of the contract is exercised. I hereby release and discharge Escuela Cubana de Ballet, its agents, employees, and officers from all claims, damages, actions, judgments, and executions, which the undersigned, heirs, and executors, may claim to have against Escuela Cubana de Ballet or its successor, for all injuries caused by the above-described activities, any activities related thereto and/or failure to follow school policies, regulations, or rules.
Further, I grant the Escuela Cubana de Ballet it’s agents and employees to authorize emergency treatment that may be required.
I, the undersigned, have read this form entirely and agree to all the information concerning Tuition, fees, release of Claims and treatment authorization information, medical information, emergency contact information, school’s policy and regulations, card information. I completely understand all their terms. I execute this voluntarily and with full acknowledgement of its significance and consequences.
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+1 305 849 8011
Contact us
inscripciones@escuballet.com
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