Summer Elementary Program Enrollment Application 2026July 6 – August 15 • Ages 3-11JMBT • 400 Harvard Street, CambridgePlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Student Information – Step 1 of 6Student Name *FirstLastPreferred Name *Were you enrolled in the 2025-26 Young Dancers Program?YesNoDate of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Students must be 3 years old by June 1, 2026 to participate in the Summer Elementary Program.Grade (2026-27 Academic Year) *Pre SchoolKindergarten (K)1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeSchool *Home Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeGender / PronounsPrefer not to sayShe/HerHe/HimThey/ThemOptionalPlease explain previous dance experience (if any) *Medical & Additional InformationThe following information will only be used in the case of a medical emergency.Allergies *Medications *Injury history *Information we can provide to our faculty so they can better serve the needs of your student.Other medical conditions or history *Please include here any additional members of the family or household (e.g., siblings and their ages) that may be helpful to the teacher’s understanding of the student’s family or social context: *Please list any activities, hobbies, or other strong interests aside from dance that are a regular part of the student's extracurricular experience: *Language(s) spoken at home (other than English): *NextSave and Resume LaterPrimary Parent / Guardian Name *FirstLastEmail *Mobile Phone *Employer *This information is confidential and may be used to assist applying for grants and funding.Work PhoneIf applicableAddress *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAdd Second Parent / GuardianAdd Second Parent / GuardianSecond Parent / Guardian NameFirstLastEmailMobile PhoneEmployerThis information is confidential and may be used to assist applying for grants and funding.Work PhoneIf applicableAddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAdd Third Parent / GuardianAdd Third Parent / GuardianThird Parent / Guardian NameFirstLastEmailMobile PhoneEmployerThis information is confidential and may be used to assist applying for grants and funding.Work PhoneIf applicableAddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmergency Contact InformationThe emergency contact person should not be any of the parent / guardians listed above. This person will be contacted in case the parent / guardians listed above are not available or responsive in an emergency situation.Emergency Contact Name *FirstLastRelationship to Student *Mobile Phone *PreviousNextSave and Resume LaterDiversity and inclusion are at the core of José Mateo Ballet Theatre’s mission and commitment to the community. Gathering the information listed below allows us to improve the customer service that we give to all families. In addition, this information will further our diversity and inclusion efforts and assist in applying for grants and funding.This information will be kept anonymous and only be used to meet the needs of the families we serve.Ethnicity / Race *Prefer not to sayAsianBlack or African AmericanHispanic or LatinoNative American or Alaska NativeNative Hawaiian or Other Pacific IslanderWhiteOtherHousehold Income *— Select Choice —Prefer not to sayLess than $25,000$25,000 – $49,999$50,000 – $74,999$75,000 – $99,999$100,000 – $149,999$150,000 – $199,999$200,000 – $249,999$250,000 or moreWhat obstacles prevent you from attending a José Mateo Ballet Theatre performance?Ticket costChildcareLocation of the theatreNot enough timeNot interestedOtherNone – I already attend!What is your neighborhood?How did you hear about José Mateo Ballet Theatre? *ReferralSocial MediaSearch EngineWord of MouthAdvertisementEmail NewsletterEventWebsiteBlog PostOtherWho referred you? *PreviousNextSave and Resume LaterI hearby enrollStudent Name *Student Namein José Mateo Ballet Theatre’s Summer Elementary Program 2026.I understand that payment is due in full at the time of enrollment.I understand that after an enrollment application has been received by José Mateo Ballet Theatre, should the student, for whatever reason, be unable to participate, withdraw from the program, be dismissed with cause, or be absent from the program, payments will not be refunded.I am aware that ballet training and the exercises associated with it can place stresses on the body and can risk physical injury. On behalf of the above named student and myself, I assume this risk and agree that José Mateo Ballet Theatre will not be liable in any way for injuries sustained during participation in the program or related activities.I grant José Mateo Ballet Theatre the right to make and use photographic and audiovisual documentation of my child to be used for philanthropic, promotional, and other mission related purposes. In no case will the child’s identity be disclosed without written parental consent.I understand that the primary method of communication from José Mateo Ballet Theatre is email through Constant Contact or Gmail in order to send announcements and other pertinent studio information.Parent / Guardian Signature * Clear SignatureParent / Guardian SignatureToday's Date *José Mateo Ballet Theatre Summer Elementary Program Students must:• Remain committed to attending the full program or the portion of the program for which they have enrolled.• Comply with all rules and regulations of José Mateo Ballet Theatre including, but not limited to, dress code, punctuality, and class etiquette.• Attend and be on time to all scheduled classes. Students may not be late to class more than three times or have more than three unexcused absences during the course of the program.• Participate in all scheduled classes, activities, and other organizational programs.• Seek and receive permission from artistic staff before enrolling in additional dance classes or accepting a performance engagement.Failure to comply with these policies may affect a student’s eligibility for performance opportunities and financial aid. We understand that some circumstances may make these policies difficult. We ask that you communicate honestly with us about any challenges that may prevent your child from participating fully in the program. We will do our very best to work with you to help your child to get the most out of the program, and we are thrilled to have them dance with us.If there are any conditions that will prevent your child’s full participation in the program, please describe them here: *If there are any dates your child will be absent or late, please list them here along with the reason for the absence/lateness, please list them here: *Parent / Guardian Signature * Clear SignatureParent / Guardian SignatureToday's Date *PreviousNextSave and Resume LaterAre you applying for a need-based scholarship? *NoYesDid you receive a need-based scholarship (financial aid) for the Young Dancers Program 2025-26? *YesNoLevel *Creative Dance I (3 years old by June 1)Creative Dance II (4 years old by June 1)Pre Ballet I (5 years old by June 1)Pre Ballet II (6 years old by June 1)Beginner Ballet (7-10 years old)Advanced Beginner Ballet (8-11 years old)Creative Dance I Class Time (45 min) *Tuesday 3:45–4:30 PMSaturday 9:00–9:45 AMCreative Dance I – Full TuitionPrice: $202.00Creative Dance I – Full Tuition (ALUMNI10)Price: $181.8010% OFFCreative Dance II Class Time (45 min) *Tuesday 4:30–5:15 PMSaturday 9:45–10:30 AMCreative Dance II – Full TuitionPrice: $202.00Creative Dance II – Full Tuition (ALUMNI10)Price: $181.8010% OFFPre Ballet I Class Time (45 min) *Thursday 3:45–4:30 PMSaturday 10:30–11:15 AMPre Ballet I – Full TuitionPrice: $202.00Pre Ballet I – Full Tuition (ALUMNI10)Price: $181.8010% OFFPre Ballet II Class Time (60 min) *Thursday 4:30–5:30 PMSaturday 11:15 AM–12:15 PMPre Ballet II – Full TuitionPrice: $252.00Pre Ballet II – Full Tuition (ALUMNI10)Price: $226.8010% OFFBeginner Ballet Number of Classes per Week *1 class / week2 classes / weekAdvanced Beginner Ballet – Full TuitionPrice: $648.00Beginner Ballet Class Time (75 min) *Wednesday 4:15–5:30 PMSaturday 9:30–10:45 AMBeginner Ballet – Full Tuition (1 Class)Price: $315.00Beginner Ballet – Full Tuition (2 classes)Price: $570.00Do you have a tuition code to enter?YesNoIf unsure, select “No”Tuition CodeRegistration FeePrice: $25.00Waived Registration FeePrice: $0.00 – Ballet of Need-Based Scholarship Application MaterialsPlease upload a digital copy (e.g., scan, image, pdf) of your most recent tax filing below. This must include the IRS Form 1040 showing the student listed as a dependent and showing your Adjusted Gross Income.If you do not file taxes, alternative accepted documents include: Proof of social security, Food stamps, Health connector, Letter from your student’s school stating financial need. If you do not have any of the above documents or have questions about income documentation, please email registration@ballettheatre.org.Tax Files * Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.Statement of Financial Need *Statement of student's interest in the study of dance *Statement of family's willingness to support this interest *Statement of commitment to full participation in the program and the eligibility requirements/stipulations outlined in the Need-Based Scholarship section of the Young Dancers Program page *Payment InformationTotal$0.00Name on Card *FirstLastCredit Card Information *Card NumberMM123456789101112Expiration/YY2627282930313233343536Security CodeBilling Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePreviousNextSave and Resume LaterUpdating preview…This is a preview of your submission. 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