SUMMER 2018
DANCE MACHINES DANCE STUDIO, INC.

*** REGISTRATION FEE - $20.00 JUNE and JULY SESSION ONLY PER STUDENT ***
($50.00 REGISTRATION IF YOU ENROLL FOR SUMMER and FALL)
(New Students only)
Fall 2017-2018 students, no registration fee applies
 

DATE________ STUDENTS NAME_________________________________________

AGE_________  DATE OF BIRTH_____________  SCHOOL GRADE______________

PARENTS NAME_______________________________________ DL #____________

ADDRESS_________________________________ CITY____________ ZIP________

HOME PHONE ______________________ CELL PHONE ______________________

EMAIL_______________________________________________________________

EMERGENCY NAME & #_________________________________________________

CLASS REGISTRATION

COMBINATION ________ (tap and ballet) AGES 2-6      JAZZ________   TAP________

BALLET/POINTE________    LYRICAL_________   HIP HOP_________ 

CHEER/GYMNASTICS_______   TECHNIQUE_________  CREW_________

MONTHLY TUITION

*****$15 LATE FEE APPLIES AFTER THE 10TH OF THE MONTH*****

1ST CLASS (PER CHILD).....$60.00                 ADDITIONAL CLASS.....$40.00

All registration fees and monthly tuition are NON REFUNDABLE! Classes will not be prorated due to absences! Insufficient enrollment in a class may result in the cancellation of a class, in such case, Dance Machines agrees to offer you an alternate class.

Please sign/initial the Policies and Waiver form!