LICSB Registration Form
SPRING 2024
January 29 - June 15

Age requirements are as of September  1, 2023.

Tuition is non-refundable.  Classes are non-transferable.  Semester ends June 13, 2024.

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 *
REFERRED BY:  
If you were referred by an LICSB family, please let us know!
Parent and 2's - Class is 45 minutes  $625 per semester
PreDance Class (3 year olds) Class is 45 minutes $625 per semester
PreBallet Class (4 & 5 year olds) Class is 45 minutes $625 per semester
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Basic Ballet  (6 - 8 years) Class is 60 minutes. One class per week $625, two classes per week $985 per semester.
CONTEMPORARY MOVEMENT $625 per semester
Graded Level Ballet 1 (8-9 years) Class is 60 minutes. Minimum 2 classes per week required. $985 per semester.
Graded Level Ballet 2/3 (9 years and up) Class is 90 minutes. Minimum 3 classes per week required. $1325 per semester.
Graded Level Ballet 3 PREPOINTE by invitation. Minimum 3 classes per week, plus PrePointe,  required. $1725 per semester.
Upper Graded Level Ballet.  Three ballet technique classes required. Tuesdays and Thursdays required. Contemporary is a free add on.   $2000 per semester. 
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.
I understand that LICSB uses photographs of their students for advertising and I give permission to LICSB to use photographs of my child in their advertising, on social media and on the website www.licsb.com. Students are not identified in photographs. 


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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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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