$35.00 registration fee is required for all current and new students.
Student Name------------------------------------------------------------------------------------------------
Birthdate-------------------------------------------------------------------------------------------------------
Home Phone--------------------------------------------------------------------------------------------------
Address--------------------------------------------------------------------------------------------------------
Mother’s name-----------------------------------------------------------------------------------------------
Work Phone---------------------------------------------------------------------------------------------------
E-mail-----------------------------------------------------------------------------------------------------------
Father’s name------------------------------------------------------------------------------------------------
Work Phone---------------------------------------------------------------------------------------------------
E-mail-----------------------------------------------------------------------------------------------------------
Payment
Trimester tuition payment $--------------------------------------------------------------
Sibling discount 10%of lesser tuition $------------------------------------------------------------
Non-refundable annual registration fee $---------- $35.00---------------------------------------
I understand that the performing wing of Graham Academy,
Graham Ballet Theater is a not for profit
organization and relies on donations to cover the
organizations expenses. I enclose a donation of $-------------------------------------------
Total $-------------------------------------------------------------
In the event of illness or injury to, from. or on the premises of Graham Academy, I and my heirs, release all faculty, staff, and board members of all liability and legal responsibility. I also agree to release all faculty, staff and board members from all liability and legal responsibility in any other maters. I release any claim on photos taken of my child while participating in any Graham Academy event. performance, class etc. and agree that Graham Academy has permission to use these photos for its own promotional purposes.
Signature, (required) Jan 1, 2020
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Hard copy must be signed and mailed or turned into Graham Academy.
Mailing address is 300 SW State St #5 Pullman WA 99163
Please do not mail to Gladish's address.