Center Stage Fall Registration
>>>>> Do not press enter until all information is completed <<<<<

** Please read each statement below then indicate that you have read, understand, and agree with the policy listed. **

I understand that payment is due on or before the 10th of each month, and if payment is late I will be charged a $10.00 late fee. There are no discounts for holidays and short months or missing class because of vacation or sickness.
A registration fee of $50.00 will be charged for each year I register.
You will be accessed an additional $50.00 fee for early with drawl of your child.

Additional fees include a one time recital fee and a costume fee. (Notification of amount will be given as to the amount. This is for the end of year recital only)

** I will not bring my child to class if he/she shows signs of illness **

If I can not be reached and my child is injured, a doctor or ambulance may be called and I will take full financial responsibility for such.

My child is up to date with his or her immunizations.

After school has been in session 6 weeks, you will be obligated to pay for the remainder of the year if you decide to remove your child from school.

I hereby release Center Stage Preschool, its employees and volunteers from any and all liability cost or expense associated with any injury sustained while participating in Center Stage Preschool, programs including performing arts classes, academic classes and field trips.

I am required to be ON TIME picking up my child from school. If I am more than 10 minutes
late, I will be charged a $10 late fee.

After filling out this form, please pay the $50 registration fee by clicking on the "Pay Online" button on the Main page.

Your child will not be considered registered if this fee is not paid.

Email address *
I have read, understand, and agree to Center Stage Performing Arts Preschool policies
Child's Name
Your answer
Parent/Guardian Names
Your answer
Phone Number's
Your answer
Email Address
Your answer
Address
Your answer
Birthday
Your answer
Child's Gender
Please select the class and time you are registering for. Please note: Some classes may be full for the session, please call to check availability!! 801-362-4047
Emergency Contact Name, Address, Phone Number
Your answer
List any allergies
Your answer
Doctor's Phone Number
Your answer
Karate GI Size (Only for 4 yr and Kindergarten Classes) ($18)
Reminder
Pay $50 registration fee by clicking on "Pay Online" on the main page (using PayPal).
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.