North Carolina Dance Theatre

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	2010-2011 School Year

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Photos: Jeff Cravotta

ENROLL

Complete the form below. When you have finished, press the 'Submit Enrollment' button.

Student's Name
Birth Date
Age
Ethnic Background (optional)
Address
City
State
Zip
Phone
Email Address

If student is under 18, the following section is required.
Mother & Father's Name
Mother's Cell Phone
Mother's Employer
Father's Cell Phone
Father's Employer
Academic School
Grade

Required for all students.
Emergency Contact's Name
Emergency Contact's Phone

I am enrolling in the following classes (use Ctrl-Click to select more than one day per class):

Class Location	Day

Class Location	Day

Class Location	Day

Class Location	Day

Class Location	Day

Class Location	Day

Payment

Once enrollment is submitted, a School administrator will contact you to set up payment. Click here for more information on tuition and payment options.

Please indicate your planned payment schedule below.
Annual Tuition Payment
Multiply the monthly tuition amount by 9 No administrative fees apply Tuition paid in full by September 1
Semi-Annual Payment
Multiply the monthly tuition amount by 4.5 Paid by September 1 and January 15 $5 administrative fee charged at time of payments
Monthly Payment (if you would like to set up monthly bank draft payments please contact the school administrator)
9 payments from September 1 – May 1 Paid by automatic credit card or bank card deduction $5 monthly automatic withdrawal fee $10 monthly check fee if paying by check $10 late fee after the 5th of each month
Dance Card
Single Classes

Payment Agreement
I accept the terms of enrollment as stated for the upcoming school year in the School’s Policies & Procedures. I understand that my obligation to pay tuition, administrative and other school-related fees is unconditional and that no portion of such fees paid will be refunded or cancelled in the event of absence, relocation, or dismissal from the School. There are no tuition credits. The student will not be registered or allowed to begin classes until this agreement is signed/submitted and tuition has been paid. A student will not be allowed to participate in classes on the Monday following a missed payment. If a payment is missed, a late fee will be charged after the 5th of each month. The student may resume classes as soon as the balance is paid. A written notice must be submitted to the School Director 30 days in advance of withdrawal from the program. Tuition fees will be charged on the first of the month prior to the date of withdrawal.
I agree to the terms above (please put your initials in the box)

Photo Release
I give permission for photos of my self/my child to be used in promotional materials for North Carolina Dance Theatre.
I agree to the terms above (please put your initials in the box)

Mandatory Waiver
I recognize that my or my child's attendance and participation may expose him/her to risk of injury or harm. I accept this risk and agree that North Carolina Dance Theatre, North Carolina Dance Theatre School of Dance and its staff will not be held responsible should such injury or harm occur.
I agree to the mandatory waiver above (please put your initials in the box)

Call 704.372.3900 or click here with questions. Once enrollment is submitted, School administrator will contact you to set up payment.