Arts for the Heart Academy of Dance & Worship Arts
Re-Enroll Student Registration
WELCOME BACK TO THE FAMILY!
Returning Student Re-Enroll Registration 2016-2017
We're excited for all God has planned for us this new season and you will be a part of it as
you grow more in your dance and with God!!

Our VIP Priority Re-Enrollment period is just for you our existing and returning families. VIP Priority Re-Enrollment ends Saturday August 20th at 9am then it is open to all new students.

Please provide your information below and click "Submit* when complete.
*All re-enrollments are considered pending until we have reviewed your registration.
*You will be contacted within 48 hours to discuss your class selections and complete the re-enroll process.
**You will need to pay the registration fee at time of re-enrollment if 30 days before the start of class. All others will need to pay registration fee and first month's tuition when re-enrolling. **

Family Information
Parent Name
Your answer
Cell Telephone #:**
Your answer
Email:**
Your answer
Home Address: (If changed since last enrollment)**
Your answer
Emergency Contact Info (if changed since last enrollment)
Your answer
Student #1 Information
Student Name**
Your answer
Allergies:
Your answer
Select Class for Re-enrollment
Little Dancing Hearts (3-5yrs)- Preschool Level Creative Dance (10-week sessions)
Petite Praisers 5-7yrs- Beginner Level Creative Dance, Ballet & Tambourines
Royal Praisers 8-12yrs- Level 1 Ballet, Jazz, Hip Hop & Tambourines
Student #2 Information
Student Name**
Your answer
Allergies:
Your answer
Select Class for Re-enrollment
Little Dancing Hearts (3-5yrs)- Preschool Level Creative Dance (10-week sessions)
Petite Praisers 5-7yrs- Beginner Level Ballet, Creative Dance & Tambourines
Royal Praisers 8-12yrs- Level 1 Ballet, Jazz, Hip Hop & Tambourines
Student Expectations
Students are expected to attend classes promptly and on a regular basis. It is the student's responsibility to notify us when he or she is going to be absent and arrange a make-up class before the end of the following month. Students not attending at least 30 minutes of a class will not receive credit for attending that day. Anyone more than 15 minutes late will be asked to sit and observe the class.

For dance classes, hair must be off the face in a tight bun or ponytail for all classes. Students will not be admitted into class unless their hair is out of their face. If my child is not wearing the proper attire I will receive a phone call to pick them up or bring the correct uniform. OR as an adult student I will be asked to make the proper corrections or will sit out of class. As the legal parent or guardian or self-representative, my student (or myself as an adult student) and I agree to abide by the dress code listed in the student handbook.

Student's cell phones must be turned off or placed on silent while in class.

As the legal parent or guardian or self-representative, my student (or myself as an adult student) and I agree to abide by the dress code listed in the student handbook. For dance classes, hair must be off the face in a tight bun or ponytail for all classes. Students will not be admitted into class unless their hair is out of their face. If my child is not wearing the proper attire I will receive a phone call to pick them up or bring the correct uniform. OR as an adult student I will be asked to make the proper corrections or will sit out of class.

As the legal parent or guardian or self-representative, I understand that students and parents are expected to respect and willingly abide by all rules and regulations of the academy. Students are to conduct themselves in a courteous manner in the academy, host site space, and at all academy-sponsored activities. Misconduct or poor attitude will result in the student's dismissal so that those who are interested in learning may do so without interruption. If a student slanders students or staff they will be asked to find another academy to attend at the Directors discretion.

Parent Responsibility
As the legal parent or guardian or self-representative, I understand that there are various forms of technology (Website, E-mail, Bulletin Board, Main Office Staff, Facebook) used at Arts for the Heart to aid in increased communication. I am aware that Arts for the Heart sends the majority of academy updates electronically. If I choose to not give my e-mail address; I will have to stop by the academy monthly and/or continually check the website and Facebook pages to stay up-to-date on academy events and news.

I agree to follow the classroom observation rules. I know I can observe during designated times throughout the season. I am not to cause distraction by speaking to my child, correcting my child, or using my cell phone during the class.

Arts for the Heart operates within shared community space and it is important I understand that Arts for the Heart Academy cannot provide supervision for students outside of class. I will not drop off my child earlier than 10 minutes before their class begins. I will pick up my child no later than 10 minutes after their class ends. Repeated violation of this policy will result in the cancellation of the student's registration, forfeiture of all registration fees, garment deposits, and tuition.

Disclosures/Liability/ Photo Waivers

Payment Information
As the legal parent or guardian or self-representative, I commit to being a good steward of my financial responsibilities to Arts for the Heart Academy and its members.
I've read the above and agree.

Photo/Video Release
As the legal parent of guardian or self representative, I consent to Arts for the Heart Academy taking and using photographs and/or videos of my child or myself during his/her participation in the activities held in or with Arts for the Heart Academy for commercial purposes, marketing activities, website and/or Facebook postings without compensation to my child or myself.
I've read the above and agree.

Medical Emergency
The undersigned gives permission to Arts for the Heart Academy, its owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian or spouse. I hereby declare any physical/mental problems, restrictions, or condition and/or declare the participant to be in good physical and mental health.
I've read the above and agree.

Release of Liability
As the legal parent or guardian or self representative, I release and hold harmless Arts for the Heart Academy of Dance & Worship Arts, Pilgrim Baptist Church, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Arts for the Heart, its owners and operators or in route to or from any of said premises.
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Enter your Full name**
Your answer
Completed Re-Enroll
All re-enrollments are considered pending until we have reviewed your registration.
**You will need to pay the registration fee at time of re-enrollment if 30 days before the start of class. All others will need to pay registration fee and first month's tuition when re-enrolling. **

Once you submit the re-enroll form, you will be contacted within 48 hours to discuss your class selections, send you link to make online payment and confirm your child’s re-enrollment and complete the re-enroll process.

Tuition & Re-enroll registration payment (check which applies)
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