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2018 5-Week Summer Ballet Program Application: NEW STUDENT
This application must be submitted for EACH individual new student within a family, using the SAME contact information. The contact name must match the cardholder name on the credit card.
Please be sure to read the INSTRUCTIONS on CPYB.org for entry of each question. Upon submission of this application, an $85 application fee will be posted to the credit card documented within the application or the Family Portal (for returning students). PLEASE NOTE: All the fees posted and paid through the submission of this form are non-refundable and non-transferable.
In order to be considered for the 5WSBP students must submit their previous CPYB level if applicable.
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Start Date/Time: |
End Date/Time:
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Fee per Student:
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Room:
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* - denotes required fields |
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Family Information |
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Students entered below will be added to your family's account
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Add New Student #1:
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Add New Student #2:
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Add New Student #3:
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Add New Student #4:
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Add New Student #5:
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Questions/Options: |
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1.How did you hear of the 5WSBP? (Please see categories within the instructions)* | |
2. DORM REQUEST: Select YES if the student desires housing in a Dickinson College residence hall. (Ages 11 & up)* | |
3. Select YES if the student is a CPYB alumnus and member of a professional company or company school. If checked, please go to the agreement section of the application.* | |
4. Has the student attended the CPYB 5WSBP in previous years? If YES, answer 4A.* | |
***4A. Please list the level and years attended in this text box. | |
5A. Students's height.* | |
5B. Student's weight.* | |
5C. Student's Most Recent Experience: Provide name of ballet school, street address, city and state.* | |
5D. Student's Most Recent Experience: Provide the year started and year ended. State class level in school and the number of BALLET classes taken per week.* | |
6. REQUIRED: Students with training must submit 3 photos (see below) via upload to CPYB's Dropbox. (See the instructions for uploading.) | (checked=yes) |
***6A. Photo #1, Head shot: Close-up, full face, with hair up. | (checked=yes) |
***6B. Photo #2, Croise' fourth in releve' . Females should be in leotard, light-colored tights, and en pointe if appropriate. NO SKIRTS. Males should be in tights, t-shirt and ballet shoes. | (checked=yes) |
***6C. Photo #3, Attitude derriere efface'. Females should be in leotard, light-colored tights, and en pointe if appropriate. NO SKIRTS. Males should be in tights, t-shirt and ballet shoes.
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7. Did you attend a #CPYBsummer Experience Tour event PRIOR to this application? If YES, please provide the location below (NYC, Philadelphia, Seattle or Kansas City)* | |
***7A. Please provide the location where you attended a #CPYBsummer Experience Tour event. | |
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Additional Information: |
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APPLICATION MATERIALS
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I understand that applicants with previous training experience are required to upload three photos to CPYB's Dropbox to complete their application materials. Until photos are successfully uploaded the student's application is incomplete and will not be considered.
I've read the above and agree.
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APPLICATION PROCESSING
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I understand that upon submission of this application and the required photos, CPYB will approve or disapprove the application. All applicants will be notified of their status via e-mail.
I've read the above and agree.
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TUITION PAYMENTS
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I understand the submitted date of the application form determines eligibility for program rates when selecting a payment option for dorm and non-dorm. The options are described in the application directions and on CPYB.org
I've read the above and agree.
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(Show-Hide Details)
I understand that in order to receive the February, March or April rate I must reserve the place for my student(s) in the 5WSBP by the 14th of my desired month by 11:59 pm. This transaction occurs through the submission of the "Reserve Your Place in the Program" form, following acceptance into the program.
I've read the above and agree.
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APPLICATION PAYMENT
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I understand cash is NOT accepted as a form of payment. All application fees MUST be via credit card through the Family Portal. CPYB accepts Visa, MasterCard and Discover.
I've read the above and agree.
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DECLINED TRANSACTIONS
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I understand that it is my responsibility to notify the financial institution due to limits on my account or fraud prevention. I understand that transactions declined for any reason incur a $35 declined transaction fee. ONLY if a letter from the financial institution stating the account was closed due to fraud is provided within 48 hours prior to the payment being processed will the $35 declined transaction fee be waived. Please visit the tuition page on CPYB.org to access the Refund Policy.
I've read the above and agree.
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PAYMENT AND REFUND POLICIES
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1. I have read and understand the Refund Policy as outlined at http://cpyb.org/payment-and-refund-policies. I understand that there will be no exceptions to these refund policies. 2. I understand that all the fees posted and paid through the submission of this form are non-refundable and non-transferable to any student or other CPYB program.
I've read the above and agree.
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SCHOLARSHIP APPLICATION
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I understand only students attending the entire 5WSBP can apply for scholarship assistance by the JANUARY 20 deadline. I understand that after January 20, 2018 the scholarship application option is no longer available. CPYB does not keep electronic tax information after the scholarship review process is completed. All documentation is permanently deleted.
I've read the above and agree.
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FINANCIALLY RESPONSIBLE PARTY, CUSTODIAL PARENT AND STUDENT
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My electronically typewritten signature below shall be legally binding and serve in the same capacity as my original penned signature.
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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Card Number: * |
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Name as it appears on card: * |
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Nickname:
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Card Expiration Month: * |
Exp Year: *
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Address Line 1:
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Address Line 2:
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City:
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State:
Zip:*
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