Chicago Ballet Arts Registration Form: FALL SEMESTER 2012-2013

Please complete a registration form for each child. Non-refundable tuition is due on or before the first day of class for each semester.

    Student Information

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Parent/Guardian Information

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    CBA Class Information

    This is a required question
    This is a required question

    Emergency Contact Information

    Please list an emergency contact (other than yourself - you will also be contacted) that CBA can reach out to in the event of an emergency.
    This is a required question
    This is a required question

    Waiver

    I herby release Chicago Ballet Arts, its agents and employees, from all liability for personal injury, illness, or property loss or damage. I give consent for staff to take and use photographs and video of my children for CBA's promotional purposes.
    This is a required question

    Additional Information

    This is a required question
    This is a required question