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Registration

PLEASE PRINT OUT THE FORM BELOW EITHER
MAIL IT IN OR PRESENT IN PERSON

 

ACADEMY OF DANCE registration

 

CLASS SCHEDULE & STUDENT INFORMATION

 

Please be aware that all tuition payment arrangements at the Academy are by monthly tuition rates only, and are due by the 1st of each month, unless dropped officially by filling out a drop card or by contacting our office. The only exceptions are classes paid “per class” rate.  Also notice many months have five, instead of four, of your lesson day. You are not charged extra for these additional classes. Neither are you credited for months that have only three of your lesson days. Remember, your tuition reserves your place in class. However, you are awarded make-up classes, free of charge, for any lessons missed due to your personal vacations, illness, or Academy recesses.

 

 

NAME                                                                                     PHONE                                      

 

 

ADDRESS                                                                             BIRTHDATE                         

 

 

CITY                                                                           STATE                       ZIP               

 

 

MOTHER’SNAME                                                             PHONE                                      

 

 

FATHER’SNAME                                                            PHONE                                           

 

 

EMERGENCY

CONTACT                                                       PHONE                                           

 

 

E-MAIL ADDRESS                                                                                                                             

 

 

CLASS #

DAY

TIME

STUDIO

CLASS

INSTRUCTOR

1

 

 

 

 

 

2

 

 

 

 

 

3

 

 

 

 

 

4

 

 

 

 

 

5

 

 

 

 

 

6

 

 

 

 

 

7

 

 

 

 

 

8

 

 

 

 

 

9

 

 

 

 

 

10

 

 

 

 

 

11

 

 

 

 

 

12

 

 

 

 

 

13

 

 

 

 

 

14

 

 

 

 

 

15

 

 

 

 

 

 

I have read and agree to adhere to the Academy of Dance Policy Sheet.

 

Signature:                                                                             Date: