Please print this registration form and mail it directly to:
The Hyde Park School of Ballet
5650 S. Woodlawn
Chicago, IL 60637
REGISTRATION FORM
Students name___________________Birthdate_____________
Parent/Guardian (if under 18) ____________________________
Address____________________________________________
City__________________________State_________Zip______
Phone (Home)______________(Work)____________________
Emergency contact________________Phone_______________
Previous training_____________________________________
CLASS SELECTION
Class ______________ Day & time _____________
Class ______________ Day & time _____________
Class ______________ Day & time _____________
Class ______________ Day & time ______________
Performance Workshop(s)______________________
__________________________________________
TUITION
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Make checks payable to: The Hyde Park School of Ballet Check #____________ Cash $____________ |
Tuition amount $_________________ Less Discount $_________________ Total $_________________ Payment plan fee $_________________ Paid $_________________ Amount due $ ________________ |
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