INFINITY BALLET Online Registration

Registration

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Welcome to INFINITY BALLET! Please complete the following registration form to register at our studio. If you have any questions please give us a call at 919-303-1105.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Info
(Not Contact #1 or #2)*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone *

Work #

Cell # * Receive Text Message Notifications

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer

Employer Phone

Employer Notes

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell # Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

Grade Level*

Transportation*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Street Shoe Size

Top Size

Pant Size

Height

Performing Interest*

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

Grade Level*

Transportation*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Street Shoe Size

Top Size

Pant Size

Height

Performing Interest*

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

Grade Level*

Transportation*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Street Shoe Size

Top Size

Pant Size

Height

Performing Interest*

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

Grade Level*

Transportation*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Street Shoe Size

Top Size

Pant Size

Height

Performing Interest*

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

Grade Level*

Transportation*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor

Street Shoe Size

Top Size

Pant Size

Height

Performing Interest*

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Registration, Payment and Policies

• An annual registration fee of $40 will be billed on September 1st for the first 5 (consecutive) years of the student's participation with Infinity Ballet prior to being grandfathered. Your initial registration will be prorated if registering after the first of January.

• Your tuition payment is due on the first of each month. Your credit card on file will be charged for class tuition due on the first day of the month. It is your responsibility to change your classes prior to one week before the first of the month either on our portal or by notifying us in writing if you would like to make a change or discontinue participating in a class. Accounts that are overdue more than 10 days will be charged a $10 late fee. After 45 days with payment in arrears, the dancer will need to reinstate their registration prior to taking lessons.

• All Tuition Payments are Non-Refundable, including all payments made in advance.

• Infinity Ballet does NOT follow the Wake County School Schedules for holiday or inclement weather closings. Closings are listed on the class schedule form (found also on our website.) In the event of inclement weather, a message will be left on the Infinity Ballet office answering machine, usually after 2:00 pm of any day in question.

• I will call IBC office if my dancer is unable to attend a lesson. Attendance is mandatory to maintain status in class levels and make-up lessons are available in an approved class within a ten week period of a missed class as long as the student is registered and actively participating in at least one weekly lesson. I understand and agree to this policy.

• All health and medical conditions that may arise, including medications prescribed, during the time your dancer is participating in dance lessons or activities with Infinity Ballet are to be reported to the office staff to inform the teacher prior to taking lessons.

• Infinity Ballet office staff must have notice if I give permission for my student to leave or carpool with someone other than the parents/guardians indicated on the registration form.

I've read the above and agree.

Photos, Videoing and Performances

• I hereby give permission for images of my child, captured by infinity Ballet photographers and videographers during rehearsals, performances, classroom lessons and programs to be used solely for the purposes of Infinity Ballet material and publications, and waive any rights of compensation or ownership thereto.

• I understand that personal use of photographic images of Infinity Ballet lessons and rehearsals, including the posting of these to any social media websites, is not permitted without the written approval of the director.

I am aware I am able to visit my dancer's class to observe a lesson on the designated class observation date at the end of the season.

• Performance opportunities at Infinity Ballet are offered by Infinity Ballet Theatre (IBT), a non-profit organization that is a separate legal entity and registration for performance opportunities is not required to participate in IBC classes.

• Though Infinity Ballet teachers work for both organizations, a dancer's participation in performances with Infinity Ballet Theatre requires a separate registration and payment. (For more information about how your dancer may participate in performances, please see our receptionist).

I've read the above and agree.

Waiver and Agreement

The undersigned student, parents and/or guardian of the student hereby release and waive any and all claims against Infinity Ballet owners, directors, teachers and or employees for any liability for injuries, including personal and bodily injury, to the person or persons related to student or the damage of property of the person or persons related to student which may occur while participating in the activities, activities sponsored by, or in or surrounding the physical building of Infinity Ballet Conservatory unless said injures or damage is caused by the negligence of Infinity Ballet or any of its employees. The undersigned represents that the student is in good health and does not have any history of a medical or physical condition (unless specified in registration form) that would place the student at risk because of his/her condition. The undersigned further acknowledges that the student's instruction involves physical exercise and physical stress which could result in physical injury of the student.
In signing this, I am confirming that I have read and agree to all of the terms indicated above.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule

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Card Number

Exp Month

Exp Year

Card Nickname

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Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number