2021/2022 Fall/Winter Dance Registration

Registration in 2021/2022 classes may be held in person and/or virtual. Online is always an available choice if you choose. Please, note our classes are limited to a "first come first serve basis." Tuition must be received when you're registered to secure your dancers spot. Tuition can be paid through PayPal using "Friends and Family" to jitterbugselite@gmail.com to eliminate any additional fees. In PayPal in the memo please include your dancer's name. Fall/Winter 21/22 classes only run September 13th - June 12th and registration does not secure a spot but, when payment is received. Finally, Be aware that photography and video footage may contain your dancer and will be used only for advertisement and promotion of Jitterbugs Dance Inc . Finally, understand that dance is a physical activity and can involve injury, and the possibility of injury. Please, Do not bring your dancer to class if they have a fever, runny nose, or have been around anyone that is exposed to Covid-19. Please, notify us and feel free to attend virtually.
Participation *
Dancer's Name
Parent or Guardian Name
Address Street, City and State
Dance Class Please, Fill in Desire Class Selection
Dance Class Please, Fill in Desire Class Selection
Dance Class Please, Fill in Desire Class Selection
Dance Class Please, Fill in Desire Class Selection
Allergies or any Medical Conditions Instructors need to be aware of. *
DOB and AGE of Dancer
Email
Telephone Number to best reach a Parent/Guardian
I understand the fees are due by the 1st of the month and payable prior to the first day of each session, class or workshop. I understand this is an ongoing class and payment can be made in Full, Half or Monthly for the 2021/2022 Season. If I choose Monthly payment is 10 consecutive payments starting in September and ending in June. I am fully aware that class placement is secure by not the registration but, when payment is received. A $40.00 fee will be charged for returned checks. All payments must be made by the 1st of every month to avoid any late fees. Late Fees are $20 after the 15th of every month. We do not offer pro-rated or credit for classes however, we do encourage makeup classes in your dancer’s proper level. I am aware that photography and video footage may contain my child and will be used only for advertisement and promotion of Jitterbugs Dance Inc. Also, I will notify Jitterbugs in advance of my child’s absence due to illness or vacation. Finally, I understand that dance is a physical activity and can involve motion, height and possibility of injury. Electronic Signature Required Below. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy