2019 Summer Children’s Workshop Registration Form

Use the form below to register for The School of First State Ballet Theatre’s 2019 Summer Children’s Workshop. Please complete all fields. You can also download a registration form and mail, along with your non-refundable $50 deposit, to: FSBT, The Grand Opera House, 818 N. Market Street, Wilmington, DE 19801.

Registration with $50 non-refundable deposit due by May 1, 2019.

Balance of tuition due by July 15, 2019.

An invoice for the deposit will be emailed to you shortly after you submit the form below.

Download a copy of the 2019 Children’s Workshop registration form here.

Student Name *
Student Name
Address *
Address
Student Date of Birth *
Student Date of Birth
Cell Phone 1
Cell Phone 1
Cell Phone 2
Cell Phone 2
Work Phone *
Work Phone
Home Phone *
Home Phone
FSBT Summer Children's Workshop Registration Terms and Conditions *
Payment Conditions In signing this registration form for myself or on behalf of a minor student, I have read and understand the payment schedule set forth below. In order to secure a place in the Summer Children's Workshop, a $50.00 non-refundable deposit is due by May 1, 2019. This deposit will be applied to the total tuition of $200. TUITION IS NON-REFUNDABLE, with the exception of medical disability, with documentation from a doctor. NO REFUNDS OR CREDITS WILL BE GIVEN FOR CLASSES MISSED. In signing this registration form for myself or on behalf of my minor student, I understand that the balance of the Summer Children's Workshop tuition is due on July 15, 2019 and that a $15.00 late fee will be applied to the tuition after this date. Liability Release I agree that my minor student or that I myself will abide by the polices of The School of First State Ballet Theatre. I consent to my minor student or myself participating in the school’s programs and activities. I recognize that in spite of the care of the school and its teachers that there is a possibility of injury during classes. In the case of such an injury to myself or my minor student, I release The School of First State Ballet Theatre, its teachers and associated personnel from all responsibility. Medical Release In the event of an injury to myself or my minor student which requires emergency medical attention, I permit the school to obtain such care and I promise to pay all associated costs upon receipt of the bill. Publicity Release I hereby authorize The School of First State Ballet Theatre the use all photographs and video of my minor student or myself for publicity including advertising and sales promotion. I have read, understand and agree to the policies of The School of First State Ballet Theatre, Payment Conditions, Liability Release, Medical Release and the Publicity Release.