CBA Registration: 2020-2021
Please complete a registration form for each child. Non-refundable tuition is due by the first day of class each semester.
Student Information
Last Name *
First Name *
Date of Birth *
Month/Day/Year
Academic Grade *
(for 2020-2021 school year)
Academic School *
CBA Class Information
What CBA level was this student in during the 2019-2020 year? *
Required
What CBA ballet level is this student registering for? *
Please refer to the website for 2020-2021 class schedules.
Required
Is this student registering for a Performance Ensemble or Contemporary Choreography Lab?
Select all that apply.
Is this student registering for a modern class?
Students may register for modern class only but are encouraged to consider taking both modern and ballet. Please refer to the website for 2020-2021 class schedules and suggested placement criteria.
At this time, this student plans to attend classes: *
Required
Parent/Guardian Information
Parent/Guardian's Name *
Additional Parent/Guardian's Name
Street Address *
City *
State *
Zip Code *
Primary Phone Number *
Alternate Phone Number
Please include an additional contact number if applicable.
Email Address *
Please list the email address that you would like important CBA communications to be sent to.
Secondary Email Address
Please include any additional email addresses you would like information to be sent to.
Emergency Contact Information
Name *
Phone *
Additional Information
I am interested in going paperless and receiving the majority of CBA communications electronically: *
My preferred method of payment is: *
Required
Are you interested in volunteering in any of these areas?
Please select all that apply:
How did you hear about CBA?
Optional question for new students.
Notes
Use this space to include additional information you'd like to share (ex: allergies, medical info, preferred pronouns, etc.).
Waiver
I hereby 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 and personnel to take and use photographs and/or video of my child for CBA's promotional purposes, including for use on its website, social media, posters and other materials.
By checking this box I have read and agree to the above waiver and understand that this will serve as my electronic signature. *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Chicago Ballet Arts. Report Abuse