CASTON'S BALLET ACADEMIE REGISTRATION FORM
Phone: 314-968-6850
Student
Last Name:__________________________________
First Name:__________________________________
Address:____________________________________
City:________________________________________
State:___________ ZIP:___________________________
Home Phone___________________ Work Phone___________________________
School:_______________________________ Year in School_______
Date of Birth ________________
Dance/ Gymnastic/ Athletic
Experience:_______________________________________________________
Activities:_________________________________________________________
* IF MORE PLEASE ATTACH EXTRA PAPER
Parent/ Guardian
1)Last Name:___________________________
First Name:_____________________________
Home Phone:______________________________
Work Phone:______________________________
e-mail:________________________________
2)Last Name:___________________________
First Name:_____________________________
Home Phone:______________________________
Work Phone:______________________________
In Case of an Emergency contact:_____________________________________
Phone #________________________
I understand that tuition is payable in advance. Students may take class only if tuition is current.
Tuition will apply to the month/semester in which it is paid, that although the student is entitled to
make-up classes within the month (at or below their usual level class) there are NO REFUNDS
except for a properly documented extended illness or leaving St. Louis. No credits will be given
for classes missed. Tuition is due the 1st of each month or by session. I understand that the
student whose name appears on this registration is enrolling in Caston’s Ballet Academie for the
Month or Semester. All students pay a registration fee due with the first payment.
I also understand that a late fee of $25.00 will be charged for tuition not paid in full, over seven
days late, or a bounced check. I understand that above the beginner level instructors place the
students as they see fit to assure the most positive success possible. Poor behavior is not
tolerated and if asked to leave the student will be re-imbursed for the unused classes.
Waiver of Liability: I understand, agree that I will not hold Caston’s Ballet Academie or any
Faculty member liable for any injury sustained or illness contracted by me or my children while a
student at Caston’s Ballet Academie.
______________________________________________ ____________
Parent/Guardian signature Date
AVOID LATE FEES ---BILL REMINDER PLAN: $5 per Month/ $5 per Semester
YES / NO Bill Reminder plan.
IF YES please check: e-mail address______or Postage address ______
CLASSES AT CASTON'S BALLET ACADEMIE
Circle : ENRICHMENT / PRE-PROFESSIONAL
Circle if a member of: Ballet Club, Junior Associate, Junior Company, Trainnee,
Apprentice, Company
CLASS DAY TIME
_____________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
_____________________________________________________________
***IF MORE CLASSES - PLEASE ATTACH EXTRA PAPER****
If Interested in performing please circle those desired below:
NUTCRACKER PERFORMANCE DECEMBER
CASTON'S CONCERT JUNE
If interested in volunteering/ or Parent Volunteer Committee
Please attach Volunteer Form. Circle: YES/NO
Print Form, complete and mail to:
Caston's Ballet Academie
SUite #101 8175 Big Bend
Webster MO 63119