"When in doubt.....Dance"

Registration

Name of Person Making Payments: *

Students Name: *

Email: *

Main Phone: *

Alt Phone: *

Work Phone:

Emergency Contact Name and Phone Number:*

Address: *

City: *

State: *

Zip Code: *

Student Allergies or Concerns:

Students Birthday: *

Students Age: *

Entering Grade: *

Recital Participation:

Please check the classes you are interested in taking:

PRESCHOOL CLASS

AGES 5-6 COMBO CLASS BALLET/TAP/TUMBLING

AGES 6-9 COMBO CLASS BALLET/TAP/TUMBLING

BALLET (AGES 10 & UP)

JAZZ (AGES 10 & UP)

TAP (AGES 10 & UP)

TUMBLING/ACRO (AGES 10 & UP)

HIP-HOP (AGES 7 & UP)

ADULT CONDITIONING/HIP-HOP

CONTEMPORARY

PRIVATE LESSONS (AGES 10 & UP)

If you are a new student and have previously studied dance, please indicate the number of years and where you studied:

Recital Participation:

If you are a new student, how did you hear about Studio Dance?:

Terms of Service/User Agreement:

Tuition is due at your first class of the month. If you pay past the 7th of the month, $5 will be added to your tuition due.

I Agree

I understand that costumes are not included in the tuition and I am responsible for the costume deposit of $50 per recital dance that I have chosen to participate in. Costume payments are non-refundable, and any costumes ordered are my responsibility, even if my child does not complete the dancing year.

I Agree

Studio Dance has my permission to use candid photos or videos taken during classes and performances.

I Agree

Medical Emergency: Studio Dance does not carry medical insurance for its students. If injury occurs, it is understood that the student’s personal medical insurance will cover all costs.

I Agree

Liability Release: I hereby release Studio Dance instructors, any guest instructors, any adults in charge, and the owners of the land and building of Studio Dance’s residency from any liability resulting in accident or injury while participating in any activity at Studio Dance. This also includes any activities in the waiting area or parking lot. Studio Dance does not supervise the waiting area or the parking lot. I certify that my level (or my child’s level) of physical condition, determined by my physician or myself, allows me to safely participate in classes. My signature states that I have read and understand this liability release.

I Agree

Please feel free to print our Registration Form (pdf format) and bring it with you
to open registration or mail it to us.

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Registration