Satellite Program at the Dupont Country Club Registration

Use the form below to enroll at The School of First State Ballet Theatre’s Satellite Program at the Dupont Country Club. Please complete all fields. Payment will be received at the Dupont Country Club on the first day of class (cash or check accepted - DCC members may charge tuition to their accounts).

Session 2: November 4 to December 4, 2019 (5 weeks)

Tuition is $75 for the eight-week session for members and $90 for non-members.

There must at least four students registered to hold the class. Invite a friend!

Student Name *
Student Name
Mailing Address *
Mailing Address
Student Date of Birth *
Student Date of Birth
Cell Phone Parent 1 *
Cell Phone Parent 1
Cell Phone Parent 2 *
Cell Phone Parent 2
Session Two: November 4 to December 4: *
Are you a member of the Dupont Country Club?
FSBT School Registration Terms and Conditions *
Payment Conditions In signing this registration form for myself or on behalf of a minor student, I have read and understand the payment schedule set forth. I understand that all there are no refunds or deductions for missed classes. Liability Release I agree that my minor student or that I myself will abide by the polices of The School of First State Ballet Theatre. I consent to my minor student or myself participating in the school’s programs and activities. I recognize that in spite of the care of the school and its teachers that there is a possibility of injury during classes. In the case of such an injury to myself or my minor student, I release The School of First State Ballet Theatre, its teachers and associated personnel from all responsibility. Medical Release In the event of an injury to myself or my minor student which requires emergency medical attention, I permit the school to obtain such care and I promise to pay all associated costs upon receipt of the bill. I understand that The School of First State Ballet Theatre is not responsible for any student outside of the studio. Publicity Release I hereby authorize The School of First State Ballet Theatre the use all photographs and video of my minor student or myself for publicity including advertising and sales promotion.