NYCB Education Enrollment Form

School Name and Number*
Name and position/title of person filling out this application*

First NameLast NameSchool Position/Title
Email of person filling out this application*
example@example.com
YesNo
The Nutcracker Project (3rd – 4th grade, OCT – DEC)Ballet Tales Fall (1st – 2nd grade, OCT – DEC)Ballet Tales Winter (1st – 2nd grade, JAN– MAY)Project Ballet (3rd – 5th grade, JAN – MAY)

Enter your Ballet Tales Fall Session class information in the table below. Please note that there is a minimum enrollment of 2 classes.

Rows	Class Number	Room Number	Grade	Total Number of Students	Number of Special Needs Students	Types of Special Needs
Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
Class 7
Class 8
Class 9
Class 10

Please enter classroom teacher/s contact information below.

Teaching Artist (Preferred)
Enter Teaching Artist Name
Teaching Artist Preference
Briefly describe your school's daily schedule, class times, and daily schedule structure for participating classes.
What days and times are preferred for workshops to take place keeping in mind that partner teachers must be available to participate with their classes? Are there any days or times your school is NOT available for workshops? Please note that unless there are 5+ classes participating, NYCB asks schools to please consolidate your schedule to one day of the week. We are not able to send TA’s to do one single class per day.
Please note what classes if any have mainstreamed students. Please provide contact information and class information for all classes to coordinate planning.
Additional Notes

BALLET TALES WINTER (Skip this page if you are not enrolling in Ballet Tales)

Enter your Ballet Tales Winter Session class information in the table below. Please note that there is a minimum enrollment of 2 classes.

Rows	Class Number	Room Number	Grade	Total Number of Students	Number of Special Needs Students	Types of Special Needs
Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
Class 7
Class 8
Class 9
Class 10

Please enter classroom teacher/s contact information below.

Teaching Artist (Preferred)
Enter Teaching Artist Name
Teaching Artist Preference
Briefly describe your school's daily schedule, class times, and daily schedule structure for participating classes.
What days and times are preferred for workshops to take place keeping in mind that partner teachers must be available to participate with their classes? Are there any days or times your school is NOT available for workshops? Please note that unless there are 5+ classes participating, NYCB asks schools to please consolidate your schedule to one day of the week. We are not able to send TA’s to do one single class per day.
Please note what classes if any have mainstreamed students. Please provide contact information and class information for all classes to coordinate planning.
Additional Notes

THE NUTCRACKER PROJECT (Skip this page if you are not enrolling in The Nutcracker Project)

Enter your Nutcracker Project class information in the table below. Please note that there is a minimum enrollment of 2 classes.

Rows	Class Number	Room Number	Grade	Total Number of Students	Number of Special Needs Students	Types of Special Needs
Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
Class 7
Class 8
Class 9
Class 10

Please enter classroom teacher/s contact information below.

Teaching Artist (Preferred)
Enter Teaching Artist Name
Teaching Artist Preference
Briefly describe your school's daily schedule, class times, and daily schedule structure for participating classes.
What days and times are preferred for workshops to take place keeping in mind that partner teachers must be available to participate with their classes? Are there any days or times your school is NOT available for workshops? Please note that unless there are 5+ classes participating, NYCB asks schools to please consolidate your schedule to one day of the week. We are not able to send TA’s to do one single class per day.
Please note what classes if any have mainstreamed students. Please provide contact information and class information for all classes to coordinate planning.
Additional Notes

Enter your Project Ballet class information in the table below. Please note that there is a minimum enrollment of 2 classes

Rows	Class Number	Room Number	Grade	Total Number of Students	Number of Special Needs Students	Types of Special Needs
Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
Class 7
Class 8
Class 9
Class 10

Please enter classroom teacher/s contact information below.

Teaching Artist (Preferred)
Enter Teaching Artist Name
Teaching Artist Preference
Briefly describe your school's daily schedule, class times, and daily schedule structure for participating classes.
What days and times are preferred for workshops to take place keeping in mind that partner teachers must be available to participate with their classes? Are there any days or times your school is NOT available for workshops? Please note that unless there are 5+ classes participating, NYCB asks schools to please consolidate your schedule to one day of the week. We are not able to send TA’s to do one single class per day.
Please note what classes if any have mainstreamed students. Please provide contact information and class information for all classes to coordinate planning.
Additional Notes

If you need to make edits to your enrollment form, please hit the back button.

If are satisfied that your enrollment form is complete and accurate, please hit the submit button.