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.
* Required

Student Information








Parent/Guardian Information









CBA Class Information




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.



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.


Additional Information




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