2017/2018 Semester Program: Tiny Ballet, Pre-Ballet, Ballet A, Ballet B, Beginning Tap

13 Weeks: September 11th-December 14th (Thanksgiving Break November 20th-25th) End of Semester performance December 13th or 14th, 2017.

Pricing for Below Classes

  • Tiny Ballet: $182 Total, $91 due on or before week of September 11th, 2017; $91 due on or before week of October 16th, 2017.
  • All others: $208 Total, $104 due on or before week of September 11th, 2017; $91 due on or before week of October 16th, 2017
  • If your dance is taking more than 1 of the above classes, there is a 10% discount of the total tuition.
  • If you have two siblings taking more than 1 of the above classes, there is a 10% discount of the total tuition.

Fill out the form for one dancer, if you have another dance fill out the form twice.

Classes *
Please check the class(es) your student is taking. All classes are based on age as of September 1st, 2017
Name of Dancer *
Name of Dancer
Date of Birth *
Date of Birth
Student's Address
Student's Address
Parent/Guardian 1 Name *
Parent/Guardian 1 Name
Parent/Guardian 1 Address (if different from above)
Parent/Guardian 1 Address (if different from above)
Parent/Guardian 1 Phone # *
Parent/Guardian 1 Phone #
Parent/Guardian 2 Name
Parent/Guardian 2 Name
Parent/Guardian 2 Address
Parent/Guardian 2 Address
If different than student's or parent 1
Parent/Guardian 2 Phone #
Parent/Guardian 2 Phone #
Emergency Contact *
Emergency Contact
Emergency Contact Phone # *
Emergency Contact Phone #
Liability Release *
I am aware that dance training and the athletic exercises associated with it place unusual stress on the body and carries a risk of physical injury. On behalf of my child and myself (and if I am no longer a minor, on my own behalf), I assume the risk and agree that RMBT shall not be liable in any way for injuries sustained during attendance, dance class or any related functions. I understand that good dance training involves touching and adjustment of the student’s body by the instructor. I further acknowledge that neither RMBT nor its instructors are responsible for any loss of or damage to the student’s personal property.
Publicity Release *
I, the undersigned, do hereby grant permission to RMBT to post stories, photos, videos, or other items related to my and/or my child’s experience with the production, hereinafter referred to as “Materials”, on the RMBT websites, print media and other web platforms and services as well as social media sites such as Facebook and Twitter. I hereby release you, your representative, employees, managers, members, officers, related entities, subsidiaries and directors, from all claims and demands arising out of or in connection with any use of said “Materials”, including, without limitation, all claims for invasion of privacy, infringement of my right of publicity, defamation and any other personal and/or property I acknowledge and agree that no sums whatsoever will be due to me as a result of the use and/or exploitation of the “Materials” or any right therein.
Tuition Payment Agreement *
I agree to pay RMBT for the dance instruction of the above student as per the tuition pricing. I understand that tuition is non- refundable. I also understand the payment schedule. RMBT accepts, cash, check and credit cards. Returned checks incur a $50 fee. RMBT does not bill, a reminder email goes out prior to each payment deadline. A $10 late fee per week will be assessed to late tuition payments.
Fundraising and Volunteerism *
Fundraising is an important and ongoing component of RMBT. Funds raised are used to support developing programs, international exchanges, performances and help us to keep tuition payments affordable. It is understood that Parents/Guardians of children enrolled in RMBT become members of the RMBT family 'community', which is committed to the support of and participation in fundraising activities, without which we could not achieve the high standards we have set for the academy. RMBT also thrives with the volunteer assistance from Parents/Guardians and friends. If you have any special interests or skills that you are willing to share with RMBT, please notify the administrative office. Our aim at RMBT is to open every window of opportunity for every student, and your gifts and talents are appreciated.
Conduct *
I understand and agree that RMBT reserves the right to void this membership for conduct that contravenes the objectives, rules, regulations and policies of the RMBT
Name of Person That Filled Out the Form *
Name of Person That Filled Out the Form
Phone (If not listed above)
Phone (If not listed above)