Online Registration Form
Email address *
Date of Registration *
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Dancer's Name *
Your answer
Dancer's Date of Birth *
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Address (street address, city, state, and zip) *
Your answer
Best phone number to be reached: *
Your answer
Email Address (we never spam or sell emails) *
Your answer
Previous dance experience: *
Your answer
Mother's Name (if dancer is under 18) *
Your answer
Mother's place of work (if dancer is under 18) *
Your answer
Mother's phone number (if dancer is under 18) *
Your answer
Father's Name (if dancer is under 18) *
Your answer
Father's place of work (if dancer is under 18) *
Your answer
Father's phone number (if dancer is under 18) *
Your answer
In case of emergency if parents cannot be reached, please contact (name and phone number) *
Your answer
Contact #2 (please do not fill in parents name) *
Your answer
Please list the classes you are interested in: *
Your answer
Does your dancer have any medical conditions or previous injuries: *
If so, please explain
Your answer
Does your dancer have any allergies? *
If so, please explain
Your answer
Were you referred to Destination Dance by anyone? *
Destination Dance Policies and Fees
Tuition-Tuition is a monthly installment, regardless if it is a "long" or "short" month. It averages out to four classes per month. Installments will not be prorated unless you are a new student starting in the middle of the month. Tuition is due the first class of each month. A late fee of $5 will be charged to the account if the payment is not received in full by the 10th of the month (Late fee of $10 if received after the 15th of the month). If your child misses the first class, please drop by or mail the tuition to avoid a late fee. There is a payment box by the office door. There is a returned check fee of $20.
Refunds-There are no refunds or credits for classes in which the student is enrolled but fails to attend.
Missed classes-Students are encouraged to make up missed classes. Missed classes may be made up within the same week as the missed class. Make up classes are to be scheduled through the office. Missed classes are not prorated. Make up classes cannot be substituted for tuition payments.
Liability- Destination Dance is not responsible for providing before or after care for students. Students are not to be left at the school for an excessive amount of time before or after class. The participant/guardian of the participant assumes the risks associated with the program and take full responsibility for the ramifications of his or her actions and physical condition while participating in this program. Destination Dance is not responsible for any injuries or stolen property.
Photo Release- Destination Dance is hereby granted permission to take photographs of the students to use in brochures, websites, posters, advertisements, and other promotional materials the studio creates. Permission is also hereby granted for the studio to copyright such photographs in its name.
I have read and understand the above policies and procedures and agree to abide by them *
Required
E-Signature: *
Your answer
Date: *
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