YOUNG DANCERS PROGRAM CAMBRIDGE2023-24ENROLLMENT APPLICATIONPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.1Student and Parent/Guardian Information2Demographic Survey3Agreements4Class Selection and TuitionSTUDENT INFORMATIONLayoutFIRST NAME *LAST NAME *Select one: *New studentReturning studentLayoutBIRTHDATE *MonthBIRTHDATE2 *Day BIRTHDATE3 *YearPlease ensure you have entered a 4-digit year (i.e. 2004).I’m sorry, students must be 3 years of age by 9/1/2023 to participate in the 2022-23 Young Dancers Program.LayoutGRADE *For 2023-24 school yearGENDERHave you attended a placement class and received a level placement for the 2023-24 Young Dancers Program? *YesNoPlease email registration@ballettheatre.org to set up a placement class and wait to receive a level placement before submitting an Enrollment Application.Were you enrolled in the 2022-23 Young Dancers Program? *YesNoHave you been in touch with us (registration@ballettheatre.org) and received a level placement for the 2023-24 Young Dancers Program? *YesNoPlease contact us (registration@ballettheatre.org) to discuss a level placement before submitting an Enrollment Application.HOME ADDRESS *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHOME PHONE *LayoutSCHOOL *CITY *STATE *DANCE SCHOOL *José Mateo Ballet TheatreOther dance schoolNo previous dance experienceLayoutSCHOOL NAME *CITY *STATE *PARENT/GUARDIAN I INFORMATIONNAME *FirstLastADDRESS *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutCELL PHONE *EMAIL *EmailConfirm EmailLayoutWORK PHONE *EMPLOYER *Would you be interested in volunteering with José Mateo Ballet Theatre?YesNoPARENT/GUARDIAN II INFORMATIONOptionalNAMEFirstLastADDRESSAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutCELL PHONEEMAILEmailConfirm EmailLayoutWORK PHONEEMPLOYERWould you be interested in volunteering with José Mateo Ballet Theatre?YesNoEMERGENCY CONTACT(other than Parent/Guardian)NAME *FirstLastLayoutRELATIONSHIP *PHONE *ADDITIONAL INFORMATIONIs there any medical information about your child that we should be aware of or that would be useful to your child's teachers? *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 extra-curricular experience: *Language(s) spoken at home: *Best way to contact you *EmailPhone callTextLayoutEMAIL *NUMBER TO CALL *NUMBER TO TEXT *NAME *FirstLastHow did you hear about José Mateo Ballet Theatre? *PosterMailingWord of mouthEmailFacebookInstagramInternet searchFrom my child’s school/nursery/daycareDancewear storeOtherOther *Please specifyNextSave and Resume LaterDEMOGRAPHIC SURVEYDiversity 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. This information will be kept anonymous and only be used to meet the needs of the families we serve. My child is (select all that apply):WhiteBlackAsianHispanicPacific IslanderNativeOtherPlease specifyYour household income is:Less than $30,000$30,000-$60,000$60,000-$90,000$90,000-$120,000$120,000-$150,000More than $150,000What obstacles exist that prevent you from attending a José Mateo Ballet Theatre performance?Ticket CostNot InterestedChild CareLocation of TheatreNot enough timeNone, I attend JMBT performancesYour neighborhood (i.e., Winter Hill, Inman Square, Beacon Hill, Hyde Square, etc.) is:PreviousNextSave and Resume LaterENROLLMENT AGREEMENTI hereby enrollStudent Namein José Mateo Ballet Theatre’s Young Dancers Program.I understand that payment is due in full at the time of enrollment, or in six installments (the first due at the time of enrollment, with subsequent installments due October 1, November 1, December 1, January 1, and February 1).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. For students paying in installments, any remaining installments will still be due.I understand that class schedules are subject to change based on enrollment.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.LayoutParent/Guardian SignatureDate: 12/03/2023ATTENDANCE AND PARTICIPATION AGREEMENTJosé Mateo Ballet Theatre Young Dancers 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 hereIf there are any dates your child will be absent or late, please list them here along with the reason for the absence/latenessLayoutStudent SignatureParent/Guardian SignatureDate: 12/03/2023PreviousNextSave and Resume LaterAre you applying for financial aid? *YesNoDid you receive financial aid in 2022-23? *YesNoCLASS SELECTIONLayoutLEVEL *Creative Dance ILEVEL *Creative Dance ICreative Dance IILEVEL *Creative Dance ICreative Dance IIPre Ballet ILEVEL *Creative Dance ICreative Dance IIPre Ballet IPre Ballet IILEVEL *Creative Dance ICreative Dance IIPre Ballet IPre Ballet IIBallet Level ILEVEL *Creative Dance ICreative Dance IIPre Ballet IPre Ballet IIBallet Level IBallet Level IIBallet Level IIIBallet Level IVBallet Level VBallet Level VIBallet Level VIIYEAR *12CLASS TIME *Wednesday 3:30-4:15pmSaturday 9:45-10:30amCLASS TIME *Saturday 9:00-9:45amSaturday 10:30-11:15amCLASS TIME *Monday 5:00pm-5:45pmSaturday 10:00-10:45amCLASS TIME *Saturday 9:00-10:00amSaturday 10:45-11:45amLayoutCLASSES/WEEK *1 class/week2 classes/weekCLASSES/WEEK *2 classes/week3 classes/weekCLASSES/WEEK *3 classes/week4 classes/weekCLASSES/WEEK *3 classes/week4 classes/week5 classes/weekCLASSES/WEEK *3 classes/week4 classes/week5 classes/week6 classes/weekCLASS TIME *Tuesday 4:00-5:15pmWednesday 4:00-5:15pmSaturday 12:45-2:00pmCLASS TIMES *Tuesday 4:00-5:15pmSaturday 12:45-2:00pmCLASS TIME *Tuesday 5:15-6:30pmSaturday 2:00-3:15pmCLASS TIME *Saturday 9:00-10:15amCLASS TIMES *Monday 4:00-5:30pmThursday 4:00-5:30pmSaturday 10:30am-12:00pmCLASS TIMES *Tuesday 4:00-6:00pmThursday 4:00-6:00pmSaturday 9:00-11:00amCLASS TIMES *Monday 4:00-6:00pmWednesday 4:00-6:00pmFriday 4:00-6:00pmSaturday 12:00-2:00pmCLASS TIMES *Monday 4:00-6:00pmWednesday 4:00-6:00pmThursday 4:00-6:00pmFriday 4:00-6:00pmSaturday 12:30-2:00pmCLASS TIMES *Monday 4:00-6:00pmWednesday 4:00-6:00pmThursday 4:00-6:00pmFriday 4:00-6:00pmSaturday 12:30-2:00pmCLASS TIMES *Monday 4:00-6:00pmTuesday 4:00-6:00pmWednesday 4:00-6:00pmThursday 4:00-6:00pmFriday 4:00-6:00pmSaturday 12:00-2:00pmCLASS TIMES *Monday 4:00-6:00pmTuesday 4:00-6:00pmWednesday 4:00-6:00pmThursday 4:00-6:00pmFriday 4:00-6:00pmSaturday 12:30-2:00pmCLASS TIMES *Monday 4:00-6:00pmTuesday 4:00-6:00pmWednesday 4:00-6:00pmThursday 4:00-6:00pmFriday 4:00-6:00pmSaturday 12:30-2:00pmCLASS TIMES *Monday 4:00-6:00pmTuesday 4:00-6:00pmWednesday 4:00-6:00pmThursday 4:00-6:00pmFriday 4:00-6:00pmSaturday 12:00-2:00pmCLASS TIMES *Monday 4:00-6:00pmTuesday 4:00-6:00pmWednesday 4:00-6:00pmThursday 4:00-6:00pmFriday 4:00-6:00pmSaturday 12:30-2:00pmCLASS TIMES *Monday 4:00-6:00pmTuesday 4:00-6:00pmWednesday 4:00-6:00pmThursday 4:00-6:00pmFriday 4:00-6:00pmSaturday 12:30-2:00pmTUITIONFINANCIAL AID APPLICATION MATERIALSTax DocumentsPlease 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, please contact us registration@ballettheatre.org to discuss alternative income documentation. Click or drag files to this area to upload.You can upload up to 10 files. StatementsStatement of financial need *Statement of your child's interest in the study of dance *Statement of the family's willingness to support this interest *Statement of commitment to full participation in the program and the eligibility requirements/stipulations outlined in the Financial Aid section of the Young Dancers Program page *Payment in full / Installment plan *Payment in fullInstallment planIf paying in installments, the remaining five (of six total) installments will be due October 1, November 1, December 1, January 1, and February 1.Do you have a tuition code to enter? *YesNoIf unsure, select “No”.TUITION CODE *TuitionPrice: $ 0.00Tuition Owed at RegistrationPrice: $ 0.00Remaining Tuition OwedPrice: $ 45.00Tuition Price: $ 469.35$745 prorated tuition in full: Week 12Tuition Price: $ 745.00registration fee discount FINAL25TuitionPrice: $ 745.00registration fee discount 80942Tuition Price: $ 745.00registration fee discount TRIAL25TuitionPrice: $ 670.5010% discount placeholderTuitionPrice: $ 670.5010% discount 9/30 open houseFirst Tuition InstallmentPrice: $ 78.23$745 prorated tuition in 6 installments: Week 12First Tuition InstallmentPrice: $ 124.17registration fee discount FINAL25First Tuition Installment Price: $ 124.17registration fee discount TRIAL25First Tuition InstallmentPrice: $ 111.7710% discount placeholderFirst Tuition InstallmentPrice: $ 111.7710% discount 9/30 open houseTuitionPrice: $ 609.84$968 prorated tuition in full: Week 12Tuition Price: $ 968.00registration fee discount FINAL25Tuition Price: $ 968.00registration fee discount TRIAL25Tuition Price: $ 871.0010% discount placeholderTuitionPrice: $ 871.0010% discount 9/30 open houseFirst Tuition Installment Price: $ 101.64$968 prorated tuition in 6 installments: Week 12First Tuition Installment Price: $ 161.33registration fee discount FINAL25First Tuition Installment Price: $ 161.33registration fee discount TRIAL25First Tuition Installment Price: $ 145.2010% discount placeholderFirst Tuition InstallmentPrice: $ 145.2010% discount 9/30 open houseTuition Price: $ 676.62$1,074 prorated tuition in full: Week 12Tuition Price: $ 1,074.00registration fee discount FINAL25Tuition Price: $ 1,074.00registration fee discount TRIAL25TuitionPrice: $ 918.2710% discount placeholderTuitionPrice: $ 918.2710% discount 9/30 open houseFirst Tuition Installment Price: $ 112.77$1,074 prorated tuition in 6 installments: Week 12First Tuition Installment Price: $ 179.00registration fee discount FINAL25First Tuition Installment (copy)Price: $ 179.00registration fee discount TRIAL25First Tuition Installment Price: $ 161.0010% discount placeholderFirst Tuition InstallmentPrice: $ 161.0010% discount 9/30 open houseTuition Price: $ 1,042.02$1,654 prorated tuition in full: Week 12Tuition Price: $ 1,654.00registration fee discount FINAL25Tuition Price: $ 1,654.00registration fee discount TRIAL25Tuition Price: $ 1,488.6010% discount placeholderTuitionPrice: $ 1,488.6010% discount 9/30 open houseFirst Tuition Installment Price: $ 173.67$1,654 prorated tuition in 6 installments: Week 12First Tuition Installment Price: $ 275.67registration fee discount FINAL25First Tuition Installment Price: $ 275.67registration fee discount TRIAL25First Tuition InstallmentPrice: $ 248.1010% discount placeholderFirst Tuition InstallmentPrice: $ 248.1010% discount 9/30 open houseTuitionPrice: $ 1,219.05$1,935 prorated tuition in full: Week 12Tuition Price: $ 1,935.00registration fee discount FINAL25Tuition Price: $ 1,935.00registration fee discount TRIAL25TuitionPrice: $ 1,741.5010% discount placeholderFirst Tuition Installment Price: $ 203.18$1,935 prorated tuition in 6 installments: Week 12First Tuition Installment Price: $ 322.50registration fee discount FINAL25First Tuition Installment Price: $ 322.50registration fee discount TRIAL25First Tuition Installment Price: $ 290.2510% discount placeholderTuition Price: $ 1,847.16$2,932 prorated tuition in full: Week 12Tuition Price: $ 2,932.00registration fee discount FINAL25Tuition Price: $ 2,932.00registration fee discount TRIAL25TuitionPrice: $ 2,638.8010% discount placeholderFirst Tuition Installment Price: $ 307.86$2,932 prorated tuition in 6 installments: Week 12First Tuition Installment Price: $ 488.67registration fee discount FINAL25First Tuition Installment Price: $ 488.67registration fee discount TRIAL25First Tuition Installment Price: $ 439.7910% discount placeholderTuition Price: $ 1,615.32$2,564 prorated tuition in full: Week 12TuitionPrice: $ 884.40Gala in fullTuition Price: $ 2,564.00registration fee discount FINAL25Tuition Price: $ 2,564.00registration fee discount TRIAL25Tuition Price: $ 2,307.6010% discount placeholderFirst Tuition Installment Price: $ 269.22$2,564 prorated tuition in 6 installments: Week 12First Tuition InstallmentPrice: $ 147.40Gala installmentsFirst Tuition Installment Price: $ 427.33registration fee discount FINAL25First Tuition Installment Price: $ 427.33registration fee discount TRIAL25First Tuition InstallmentPrice: $ 384.6010% discount placeholderTuition Price: $ 1,950.48$3,096 prorated tuition in full: Week 12Tuition Price: $ 3,096.00registration fee discount FINAL25Tuition Price: $ 3,096.00registration fee discount TRIAL25Tuition Price: $ 2,786.4010% discount placeholderFirst Tuition Installment Price: $ 325.08$3,096 prorated tuition in 6 installments: Week 12First Tuition Installment Price: $ 516.00registration fee discount FINAL25First Tuition Installment Price: $ 516.00registration fee discount TRIAL25First Tuition InstallmentPrice: $ 464.4010% discount placeholderTuition Price: $ 2,376.99$3,773 prorated tuition in full: Week 12Tuition Price: $ 3,773.00registration fee discount FINAL25Tuition Price: $ 3,773.00registration fee discount TRIAL25TuitionPrice: $ 0.00Level IV registration fee ONLYTuitionPrice: $ 3,395.7010% discount placeholderFirst Tuition Installment Price: $ 396.17$3,773 prorated tuition in 6 installments: Week 12First Tuition Installment Price: $ 628.83registration fee discount FINAL25First Tuition Installment Price: $ 628.83registration fee discount TRIAL25First Tuition Installment Price: $ 565.9510% discount placeholderTuition Price: $ 2,651.67$4,209 prorated tuition in full: Week 12Tuition Price: $ 4,209.00registration fee discount FINAL25Tuition Price: $ 4,209.00registration fee discount TRIAL25Tuition Price: $ 3,788.1010% discount placeholderFirst Tuition Installment Price: $ 441.95$4,209 prorated tuition in 6 installments: Week 12First Tuition Installment Price: $ 701.50registration fee discount FINAL25First Tuition Installment Price: $ 701.50registration fee discount TRIAL25First Tuition InstallmentPrice: $ 639.4510% discount placeholderTuition Price: $ 2,766.96$4,392 prorated tuition in full: Week 12Tuition Price: $ 4,392.00registration fee discount FINAL25Tuition Price: $ 4,392.00registration fee discount TRIAL25Tuition Price: $ 3,952.8010% discount placeholderFirst Tuition Installment Price: $ 461.16$4,392 prorated tuition in 6 installments: Week 12First Tuition Installment Price: $ 732.00registration fee discount FINAL25First Tuition Installment Price: $ 732.00registration fee discount TRIAL25First Tuition Installment Price: $ 658.8010% discount placeholderTuition Price: $ 3,187.80$5,060 prorated tuition in full: Week 12Tuition Price: $ 5,060.00registration fee discount FINAL25Tuition Price: $ 5,060.00registration fee discount TRIAL25TuitionPrice: $ 4,554.0010% discount placeholderFirst Tuition Installment Price: $ 531.30$5,060 prorated tuition in full: Week 12First Tuition Installment Price: $ 843.33registration fee discount FINAL25First Tuition Installment Price: $ 843.33registration fee discount TRIAL25First Tuition InstallmentPrice: $ 759.0010% discount placeholderRegistration FeePrice: $ 25.00Total$ 0.00PAYMENT INFORMATIONCREDIT CARD *Card NumberMM123456789101112Expiration/YY2324252627282930313233Security CodeNAME ON CARD *FirstLastBILLING ADDRESS *Address Line 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