Teenager’s Introduction to Ballet Enrollment Application 2025-26

Student Name

First

Last

Preferred Name

Have you enrolled in the Teenager's Introduction to Ballet program at JMBT before?

Date of Birth

Gender / Pronouns

Optional

Grade (2025-2026 Academic Year)

School

Student Email

Please fill out if you would like your student to receive information about the Teen Intro Program. Payment information will not be shared with your student.

Student Phone

If applicable

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Dance School

If you have no prior dance experience, please write N/A.

Medical & Additional Information

The following information will only be used in the case of a medical emergency.

Allergies

Injury history

Information we can provide to our faculty so they can better serve the needs of your student.

Medications

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):

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Primary Parent / Guardian Name

First

Last

Email

Mobile Phone

Employer

This information is confidential and may be used to assist applying for grants and funding.

Work Phone

If applicable

Address

Address Line 1

Address Line 2

City

State

Zip Code

Add Second Parent / Guardian

Add Second Parent / Guardian

Address

Address Line 1

Address Line 2

City

State

Zip Code

Add Third Parent / Guardian

Add Third Parent / Guardian

Emergency Contact Information

The 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

First

Last

Relationship

Mobile Phone

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Diversity 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

Household Income

What obstacles prevent you from attending a José Mateo Ballet Theatre performance?

What is your neighborhood?

How did you hear about José Mateo Ballet Theatre?

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I hereby enroll

Student Name

in José Mateo Ballet Theatre’s Teenager’s Introduction to Ballet course.

I understand that payment is due in full at the time of enrollment.

I understand that, 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 Signature

Parent / Guardian Signature

Today's Date

José Mateo Ballet Theatre Teenager’s Introduction to Ballet 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 two times or have more than one unexcused absence 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 Signature

Parent / Guardian Signature

Today's Date

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Re-enrollment in each class is recommended if the student feels that they are not ready to progress to the next level. However, students are encouraged to only enroll for a maximum of 3 sessions of each level before it is recommended they move into the Young Dancers Program.

Are you applying for a need-based scholarship?

Session

SESSION I | September 13 – November 15
SESSION II | January 10 – March 21*
SESSION III | March 28 – June 13^

*No Class on February 21, 2026 ^No Class on April 4, 2026 (Easter) and April 25, 2026

Tuition Code

Tuition

Price: $250.00

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Teenager’s Introduction to Ballet Enrollment Application 2025-26