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Ballroom Registration
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2024-04-11T22:30:21-06:00
2024-25 Ballroom Registration
"
*
" indicates required fields
1
Student Info
2
Class Options
3
More Info
Student Information
Student Name
*
First
Last
Gender
*
Lady
Man
Grade Level Fall 2024
*
3rd
4th
5th
6th
Which elementary are you attending 2024-25?
*
Northridge
Orchard
Rocky Mountain
Lindon
Windsor
Other
Share your info for carpooling?
Students and their parents are responsible for obtaining transportation to Northridge for class.
Will you allow Ms. Michelle to share your contact with other parents who are attempting to arrange carpools and rides?
Yes, Ms. Michelle may share my contact information with others who are arranging carpools and rides
No, please do not share my contact information
Student Birthday
*
MM slash DD slash YYYY
Student School Email
*
(example: something@alpinesd.org)
Guardian/Parent Name 1
*
First
Last
Guardian/Parent 1 Phone
*
Guardian/Parent 1 Email
*
We will communicate weekly by email, to save on copy costs.
Guardian/Parent Name 2
First
Last
Guardian/Parent 2 Phone
Guardian/Parent 2 Email
Other Guardian/Parent?
Yes
Guardian/Parent 3
*
First
Last
Guardian/Parent 3 Phone
*
Guardian/Parent 3 Email
*
Another Guardian/Parent?
Yes
Guardian/Parent 4
*
First
Last
Guardian/Parent 4 Phone
*
Guardian/Parent 4 Email
*
On Ballroom Team last year?
*
Yes
No
Class Options
Based on grade/age and/or previous experience, below are the class options. 4th grade may choose between 1 or 2 day.
1 Day -
3rd & 4th grades
4th grade is encouraged to select 2 Day if possible
2 Days -
4th, 5th & 6th grades
Available Classes:
1 Day (3rd grade)
$100/year
Tuesdays (3:35 - 4:35 pm)
2 Days (4th, 5th, & 6th grades)
$200/year
Tuesdays & Thursdays (3:35 - 4:35 pm)
More Student/Guardian Info
Are you as parent/guardian willing to use the Remind app?
*
Yes
No
If your student is a lady, and convinced a man to signup as well, enter his name:
Check all other extra-curricular commitments
Chorus
Orchestra
Drama (Orchard)
Other
Other activity
*
Any Ballroom dance experience?
*
Yes
No
(If not, no problem!)
Where and when?
*
Other dance experience?
*
Yes
No
(It's ok to say no)
What kind and how long?
*
What/who inspired your student to join Ballroom?
Check any that apply
Friend
Sibling
Ballroom Team Member
Ballroom Assembly
Northridge Assembly Ballroom video
Northridge Lunch-time Candy
Back-to-School Night
Cool posters in the halls
Loved being on Team Last year!
Principal's email
Other
Other inspiration
*
I understand:
*
(Check each box to show you understand and agree to each condition)
Ballroom classes are held at Northridge Elementary.
the class fee is $100/$200 per student per YEAR. Payment is due the 1st day of class.
if student fees are not paid by 2 weeks after Ballroom starts, my student may be removed from the class.
refunds are not available for elective withdrawal after the program has been running for 2 weeks.
the ballroom program is a girl and boy activity. Only so many more girls than boys (as determined by teacher) may be accepted to ensure a quality ballroom dance experience for all participating students.
that if the class is already full of girls, then my girl’s name will be placed on a “girls waiting list” until a boy commits to join the class.
that if a girl recruits a boy to join the class, she may add the class immediately (if there is room for them) and the boy commits to year in the program.
that enrollment interest will determine if class(es) carry.
the ballroom class enrollment for new team members is based on a first come first serve basis.
the ballroom program is a year-long commitment (September to April).
if the student misses too many practices they may not perform or compete, and may be removed from the team if the problem continues.
that I may be asked to help in some way to assist the program (ie: donations, class treats, Team Match, Concert, etc).
some
Ballroom gear
(shoes, clothing, etc) is required.
the student should have their own desire to participate in Ballroom. Parents/guardians should not force their child to join.
students will participate in assemblies, performances, and competitions with their team. Students do not choose the events in which they will participate.
Parent e-signature
*
I have read, accepted, and discussed the
Elementary Ballroom Standards
with my student. My student agrees to follow the Ballroom Standards. I have also read the
Frequently Asked Questions
.
Student e-signature
*
I agree to follow the Ballroom Standards.
Email
This field is for validation purposes and should be left unchanged.
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