Fine Arts School of Ballet 2015-2016 Registration Form Student 1. _____________________________________________________Age___ Classes: Childsdance 1 hour ____ Day & time__________________________________________ Pre-Ballet 1 Hour ____ Day & time__________________________________________ Beginning Ballet 1 Hour ____ Day & time__________________________________________ one class/wk 1.25 Hours____ Day & time__________________________________________ two classes/wk 2.5 Hours ____ Days & time_________________________________________ three classes/wk 4 Hours ____ Days & time__________________________________________ two classes/wk 4 Hours_____ Days & time__________________________________________ three classes/wk 5+ Hours____ Days & time __________________________________________ 4 Hours_____ Days & time__________________________________________ 5+ Hours____ Days & time __________________________________________ .5 Hour_____ Day & time________________________________________ Elementary Ballet Intermediate Ballet Advanced Ballet hobbyist Tap I Student 2. _____________________________________________________Age___ Classes: Childsdance 1 hour ____ Day & time__________________________________________ Pre-Ballet 1 Hour ____ Day & time__________________________________________ Beginning Ballet 1 Hour ____ Day & time__________________________________________ Elementary Ballet one class/wk 1.25 Hours____ Day & time__________________________________________ two classes/wk 2.5 Hours ____ Days & time_________________________________________ three classes/wk 4 Hours ____ Days & time__________________________________________ two classes/wk 4 Hours_____ Days & time__________________________________________ three classes/wk 5+ Hours____ Days & time __________________________________________ 4 Hours_____ Days & time__________________________________________ 5+ Hours____ Days & time __________________________________________ ___________ Tuition from Chart p.3 __________ Intermediate Ballet Advanced Ballet hobbyist Total Hours: Intermediate/advanced Tap & Jazz surcharge Jazz Dance Ballet Student rate: $30/trimester ______ Tap III Ballet Student rate: $30/trimester ______ Total family trimester tuition: ____________ divide by 3 for monthly tuition Multiply by 3 for annual tuition First Payment: (please circle) monthly/trimester/annual ____________ Parent/Guardian I Parent/Guardian II ______________________________________ ______________________________________ Address Address (if different) ______________________________________ ____________________________________ City ___________________Zip________ City __________________Zip_________ Home Phone____________________ Home Phone____________________ Cell______________________ Cell______________________ Email________________________ Email__________________________ Emergency Contact ________________________________ Relation ____________Tel.__________ (Adult students need only fill out italics.) Student #1___________________________ Classes____________________________________________________________________________ Student#2____________________________ Classes_____________________________________________________________________________ ____________________________________________________ Student#3____________________________ Classes_____________________________________________________________________________ Please circle preferred payment plan: Annual Trimester Monthly Teen/Adult Class Card:$90/10 classes First Steps $60 1st Tuition Payment $_________ Student(s) and parents agree to the following: Fine Arts School of Ballet and its employees are not liable for injuries sustained or illnesses contracted by the student while attending the school. Photos or videos (w/o students' names) of class/performance may be used for publicity purposes by Fine Arts School of Ballet/Youth Dance Theatre. Student name(s)_____________________________________________________________________________ Parent signature________________________________ Please mail to: Fine Arts School of Ballet 155 Chestnut St. Mankato MN 56001 Fine Arts Family Tuition Rates 2015-2016 ¾ Hour/Wk Annual $360 Trimester $120 9 payments $40 1 Hour/Wk $450 $150 $50 1.25 $522 $174 $58 1.5 $594 $198 $66 1.75 $666 $222 $74 $738 $246 $82 $846 $283 $94 $954 $318 $106 $1062 $354 $118 $1170 $390 $130 $1260 $420 $140 2 Hours/Wk 2.5 3 Hours/Wk 3.5 4 Hours/Wk 4.5 Individual Maximum 5+ Hours/Wk: 5 Hours/Wk $1350 $450 $150 6 Hours/Wk $1530 $510 $170 7 Hours/Wk $1710 $570 $190 Family Maximum 8 Hours/Wk 8+ Hours/Wk, 2+ students: $1890 $630 $210