2019-2020 Dance Class Registration
A Time to Dance
Email address *
Student name *
Your answer
Student's age *
Your answer
Student's birthdate *
Your answer
Student's grade *
Student's classroom name or number
Your answer
Does your child attend After School Care (if applicable)? *
In which school will your child dance? *
Parent's name - Who will I most likely communicate with? *
Your answer
Same parent's cell phone number? *
Your answer
Same parent's email address? *
Your answer
Who to call in an emergency? *
Your answer
Notes to dance teacher
Your answer
I understand that a $15 enrollment fee will be payable upon enrollment unless I pay for the entire school year or one whole semester. *
I understand that tuition is a yearly fee of $405 for preschool or $45 per month. Or the yearly fee is $450 for Kindergarten-5th grade or $50 per month. The tuition is due the first class of the month. *
I understand that photographs or video may be taken during dance class or performance with the understanding that these photos and video may be used, primarily, for your child's classmates and their families and for school gatherings to promote dance classes in schools with the A Time to Dance program, without any compensation. Photos or video may also be put on the A Time to Dance website (www.msdonnadancing.com) or Facebook page (https://www.facebook.com/ATimetoDance/). I understand that my child’s name and identity will not be revealed. If you would prefer us not use photographs or video of your child for any of these purposes, please confirm your preference with us at any time, via e-mail or in the note section. *
LIABILITY WAIVER: I, DO FULLY UNDERSTAND THAT THIS CLASS IS A PHYSICAL ACTIVITY AND I DO NOT HOLD RESPONSIBLE THE SCHOOL OR INSTRUCTORS FOR INJURIES SUSTAINED DURING CLASS AND RECITAL SUPERVISED TIME. Please type your NAME and the DATE on the line. *
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