JBY Academy & Performing Arts Conservatory Registration Enrollment Form

JBY Academy & Performing Arts Conservatory

A new nonprofit arts education and academic enrichment school program - 2024-2025 school year registration and enrollment form
Committment Keys

By registering and enrolling your child into JBY Academy & Performing Arts Conservatory you are committing to:

• Your child being present, engaged, and active in classes, with their camera on for live classes (or coaching sessions) held via Zoom, in a space that doesn't have background distractions that can disrupt class, and to report to class on time and be ready to have fun learning and creating.
- Courses run for 10-weeks each semester. Registration and enrollment tuition is non-refundable. Consistency in attendance is the best way to help your child develop skills and build upon the lessons taught in class each week.
- Private one-on-one coaching is arranged directly with the parent/guardian for a mutual convenient time of the week.
- JBY showcases are held at the end of each semester and our biggest showcases/events are held at the end of the school-year and during the summer months. Your child will maximize their experience by enrolling for the full school-year.
Student-Artist Information

JBY Academy & Performing Arts Conservatory refers to our learners as "Student-Artist" because they are discovering, sharing, exploring and strengthening their natural talents plus gaining new skills. Referring to them as "Student-Artist" also empowers them to believe in and invest in their skills and talents.
Name

First NameLast Name
Preferred Name/Nickname
Birth Date

MonthDayYear
Gender
Ethnicity
Parent's Email Address
example@example.com - note: JBY does NOT communicate directly with student-artists under the age of 15 years old without a parent's permission. Please add our email address to your contacts so our messages go DIRECTLY into your inbox. jbyacademykids@gmail.com
Parent's Main Phone Number
Please enter a valid phone number.
Current Grade
(grade your child is in during this current school-year)
Semester(s) you are registering and enrolling for
Fall * Winter * Spring * All School-Year
Have you previously applied to or attended JBY Academy & Performing Arts Conservatory (this includes a JBY workshop or class held at a library or community center or church?)

YesNo
If yes, what year and where?
Current Residence Information
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number

Area CodePhone Number
Parent/Guardian Residence Information (if different from above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact 1
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Emergency Contact 2
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Physician and Medical Information
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Preferred Hospital
Insurance/Health Coverage (Company)
Please list any of the following: Current medications, Medication allergies, Food allergies, Chronic health concerns.

Classes registering for
(Reminder: your enrollment automatically includes 3 classes) * (Classes are conducted virtual via Zoom and links are sent directly to the parent/guardian in advance. Class meetups, field trips, and/or showcases information is also shared with details on time, date and location.) (Private Coaching is conducted virtually and schedule is arranged directly with parent/guardian to select a mutually convenient time of the week. Optional in person private coaching sessions can also be arranged weekly, bi-weekly or monthly.)
Add-on extra classes registering for
(Reminder: each add-on extra class receives a 50% discount off the tuition for the semester you are registering for)
Clubs you wish to be a part of for the school-year
(Reminder: clubs run throughout the school-year some meetups are virtual and some are held in person. Clubs automatically come with enrollment into JBY Academy.)
Student-Artist's Current School
School Name
City
State
Date Started

MonthDayYear
Important Notes
Please inform us of any other vital information you think we may need to know in the event of an emergency.
Please share important information regarding your child's learning style and/or any special needs.
Please have your child help with this next section of the form. "How would you describe your personality? You can use adjectives and be as expressive as you like."
Please have your child help with this final section of the form. "Why are you interested in enrolling in JBY Academy & Performing Arts Conservatory and what do you hope to share and learn?"
CONGRATULATIONS!

ONCE WE RECEIVE AND REVIEW YOUR FORM

WE WILL SEND YOU TUITION PAYMENT INSTRUCTIONS

(which is based upon the classes that you register for and the semesters - or if you selected private coaching)

YOU WILL ALSO RECEIVE THE JBY CODE OF CONDUCT, MEDIA RELEASE FORM, LIABILITY WAIVER FORM, OUR CLASS SCHEDULE, and PRIVATE COACHING TIME SLOT OPTIONS

PLEASE, KEEP AN EYE ON YOUR EMAIL

Be sure to add our email address to your contacts and add our phone number to your phone contacts as well. Always check Spam and/or Promotions folder so you won't miss our email. If you don't receive the email or phone call within 3-business days please email us immediately at: jbyacademykids@gmail.com or call 212-804-8529 - please note that we DO NOT communicate via text messaging. Text messages will NOT be read or responded to. You must call or email.

THANK YOU FOR BECOMING A PART OF THE JBY LEGACY AND WORKING WITH US AS PARTNERS IN YOUR CHILD'S CREATIVE JOURNEY. LET'S HAVE A WONDERFUL, SAFE AND FUN SCHOOL-YEAR!
Signature (parent/guardian)

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JBY Academy & Performing Arts Conservatory

Student-Artist Information

Current Residence Information

Parent/Guardian Residence Information (if different from above)

Emergency Contact 1

Emergency Contact 2

Physician and Medical Information

Student-Artist's Current School

Important Notes