LICSB Registration Form
Welcome to LICSB!  We will confirm your registration by email.

Vaccination Requirement:

All staff, faculty, students and guests ages 5 and up must show proof of their second vaccination.
Boosters for all who are eligible are highly recommended.

Fall 2022
September 12 - January 28

Age requirements are as of September 1, 2022.

Tuition is non-refundable.  Classes are non-transferable.  Semester ends January 28, 2022.

Students and guardians are expected to carefully follow all LICSB Covid-19 protocols.  In Studio classes are subject to NYS & NYC Covid 19 guidelines and forced closures.  Credit Will Not Be Given For Missed Classes For Any Reason. TUITION IS NON REFUNDABLE.

According to NYC mandate for dance studios, a full (2) doses of the COVID-19 vaccination is required for everyone 5 years of age or above entering the LICSB studios and common areas.  This includes students, faculty and staff, parents, caregivers, and visitors.  

Students, Parents & Caregivers: Please provide proof of vaccination by emailing info@licsb.com  with the subject line *your name*/ VACCINE and uploading a PDF or JPEG image of your vaccination card.

A $25 registration fee for all new students will be added to the first tuition bill.


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Email *
Student Name *
Date of Birth *
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Parents Name *
Home Phone *
Second Emergency Contact name and number *
Zip Code *
Parent and 2's - Class is 45 minutes -- Section 1 is FULL. Section 2 has opened.  7 spots remain. 
PreDance Class (3 & 4 year olds) Class is 45 minutes
PreBallet Class (4 & 5 year olds) Class is 45 minutes
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Basic Ballet 1 (6 - 8 years) Class is 60 minutes.
Basic Ballet 2 (7 - 8 years) Class is 60 minutes.
CONTEMPORARY 
Graded Level Ballet 1 (8-9 years) Class is 60 minutes. Minimum 2 classes per week required.
Graded Level Ballet 2 (9 years and up) Class is 90 minutes. Minimum 3 classes per week required.
Graded Level Ballet 2 PREPOINTE by invitation. Minimum 3 classes per week, plus PrePointe,  required.
Upper Graded Level Ballet (Ages 11 and up by invitation) Unlimited Upper Graded Level Ballet classes.  Includes Contemporary 2, Pointe and Stretch.
PARTICIPATION CONSENT



I understand that participation at The Long Island City School of Ballet is voluntary and requires students to abide by applicable safety rules and standards of conduct.
I understand that there are inherent risks associated with participation in classes, rehearsals and performances, and I release The Long Island City School of Ballet and all its employees, volunteers, and related parties from any and all claims or liability arising directly or indirectly from this participation.
I agree to indemnify The Long Island City School of Ballet for any costs, expenses, or liability arising out of my child’s participation, including the cost of any medical care that may be given to my child or any expenses or fees incurred by LICSB, or liabilities arising from any lawsuit resulting from any damage or injuries caused by my child in the course of his or her participation in the activity.
In case of an emergency involving my child, I understand that every reasonable effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to The Long Island City School of Ballet staff to secure proper treatment, including hospitalization, for my child. Medical care providers are authorized to disclose to the adult in charge of the child all examination findings, test results, and treatments provided for purposes of the child’s medical evaluation, follow up, and communication with the child’s parents or guardian, and/or determination of the child’s ability to continue in the program activities.


Students can not participate until a consent form is on file.  



ELECTRONIC SIGNATURE
I understand that participation at The Long Island City School of Ballet is voluntary and requires students to abide by applicable safety rules and standards of conduct.
I understand that there are inherent risks associated with participation in classes, rehearsals and performances, and I release The Long Island City School of Ballet and all its employees, volunteers, and related parties from any and all claims or liability arising directly or indirectly from this participation.
I agree to indemnify The Long Island City School of Ballet for any costs, expenses, or liability arising out of my child’s participation, including the cost of any medical care that may be given to my child or any expenses or fees incurred by LICSB, or liabilities arising from any lawsuit resulting from any damage or injuries caused by my child in the course of his or her participation in the activity.
In case of an emergency involving my child, I understand that every reasonable effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to The Long Island City School of Ballet staff to secure proper treatment, including hospitalization, for my child. Medical care providers are authorized to disclose to the adult in charge of the child all examination findings, test results, and treatments provided for purposes of the child’s medical evaluation, follow up, and communication with the child’s parents or guardian, and/or
determination of the child’s ability to continue in the program activities.


Students can not participate until a consent form is on file.  

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Type your name below to complete consent form *
Parent or guardian name
Date signed *
Participation consent given on this date for Fall and Spring semesters, Summer programs and all LICSB and partners rehearsals and performances.  
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Payment method *
Tuition must be paid in full before the first class and is non-refundable.  Tuition total will be confirmed in email receipt.
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