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This application is NOT for students who applied for the 2017 5-Week Summer Ballet Program or are current CPYB Year-Round students.
Please read the instructions on CPYB.org for entry of each question. Applicants can apply for either the full two weeks or week one only. Students cannot apply for week two only. An application must be submitted for EACH student.
PLEASE NOTE: The contact information must match the cardholder name on the credit card. Previous experience students will be charged an $85 application fee.
If approved for the 2017 August Course, tuition will be charged to the credit card submitted in this application within 48 hours of your received acceptance letter e-mail.
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Family Information |
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Students entered below will be added to your family's account
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Add New Student #1:
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Add New Student #2:
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Add New Student #3:
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Add New Student #4:
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Add New Student #5:
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Questions/Options: |
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| 1.How did you hear of the CPYB August Course? (Please see categories within the instructions) | |
| ***1A. Select YES if you are applying for the full two-week August Course.* | |
| ***1B. Select YES if you are applying for week one ONLY of August Course.* | |
| 2. Check box if the student is a CPYB alumnus and member of a professional company or a professional company school. If checked, please go to the agreement section of the application. | (checked=yes) |
| 3. Students with previous ballet training should answer questions 3A through 3D. Include Academic AND Summer training: | |
| ***3A. Student's height* | |
| ***3B. Student's weight* | |
| ***3C. Student's Most Recent Experience: Provide name of ballet school, street address, city and state.* | |
| ***3D. Student's Most Recent Experience: Provide the year started and year ended. State class level in school and the number of BALLET classes taken per week.* | |
| 4. If the student attended the August Course in previous years, please list the level and year attended in the text box.* | |
| 5. REQUIRED: Students with training must submit 3 photos (see below) via e-mail to documents@cpyb.org with FIRST/LAST NAME in the subject line. | (checked=yes) |
| ***5A. Photo #1, Head shot: Close-up, full face, with hair up. | (checked=yes) |
| ***5B. Photo #2, Croise' fourth in releve' . Females should be in leotard, light-colored tights, and en pointe if appropriate. NO SKIRTS. Males should be in tights, white t-shirt and ballet shoes. | (checked=yes) |
| ***5C. Photo #3, Attitude derriere efface'. Females should be in leotard, light-colored tights, and en pointe if appropriate. NO SKIRTS. Males should be in tights, white t-shirt and ballet shoes. | (checked=yes) |
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Additional Information: |
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STUDENTS WITH PREVIOUS TRAINING - APPLICATION FEE & TUITION
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1. I understand applicants with previous training experience are required to submit three photos to documents@cpyb.org to complete their application materials. Applications are considered incomplete and will not be reviewed without the submission of all three required photos.
2. I understand upon submission of an application and the required photos for a student with previous experience, CPYB will approve or disapprove the application. All applicants will be notified of their status via e-mail.
3. I understand upon submission of this form, CPYB will charge an $85 application fee. If accepted into August Course through an acceptance e-mail, the family account will be charged tuition within 48 hours based on the application submission date. If the application is submitted by June 1, tuition is $284 per week. If the application is submitted after June 1 and space is available in the program, tuition is $387 per week.
4. I understand that applicants may elect to take the full two-week August Course or week one only. Students may not elect to take week two only.
I've read the above and agree.
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DECLINED TRANSACTIONS
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I understand that it is my responsibility to notify the financial institution due to limits on my account or fraud prevention. I understand that transactions declined for any reason incur a $35 declined transaction fee. ONLY if a letter from the financial institution stating the account was closed due to fraud is provided within 48 hours prior to the payment being processed will the $35 declined transaction fee be waived. Please visit the tuition page on CPYB.org to access the Refund Policy.
I've read the above and agree.
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PAYMENT AND REFUND POLICIES
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1. I have read and understand the Refund Policy as outlined on CPYB.org. I understand that there will be no exceptions to these refund policies.
2. I understand that all the fees posted and paid through the submission of this form are non-refundable and non-transferable to any student or other CPYB program.
I've read the above and agree.
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NO SCHOLARSHIP OR RESIDENTIAL HOUSING AVAILABILITY
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I acknowledge there are no scholarship programs for August Course nor provision of residential housing.
I've read the above and agree.
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PUBLICITY RELEASE
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I hereby authorize Central Pennsylvania Youth Ballet (CPYB) to record the student's picture and voice on photographs, films, and tapes, to edit these recordings at its discretion, and to incorporate these recordings into movie and sound films on tapes, radio, or television broadcast programs. I also give my permission for CPYB to use and license others to use these materials in any manner or media whatsoever. CPYB is permitted to use these materials for publicity, advertising and sales promotion and to use the student's name, likeness and voice and biographic or other information in connection with them. I acknowledge that no promises of compensation were made by CPYB for such use.
If I do not agree with the above, I must state so in the comment section below.
I've read the above and agree.
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FINANCIALLY RESPONSIBLE PARTY, CUSTODIAL PARENT, AND STUDENT
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My electronically typewritten signature below shall be legally binding and serve in the same capacity as my original penned signature.
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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Card Number: * |
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Name as it appears on card: * |
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Nickname:
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Card Expiration Month: * |
Exp Year: *
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Address Line 1:
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Address Line 2:
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City:
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State:
Zip:*
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