Registration

Please fill out the information below to register you and/or your child.

All fields with an asterisk (*) are required. You will be required to pay the registration fee as you complete the form. Press the "continue" button below and follow the additional directions.

This form does not serve as the official form. Please go to the Studio 10 Office to fill out the registration card and sign the enrollment contract. This simply gets you started and gives an online payment option.

Your information is strictly confidential.

*Student's Name:
*Student's Age: Date of Birth:
* Parent(s) Name:
Moblie Phone:
* Home Phone:
* E-mail Address:

Mom's Place of Business:
Mom's Business Address:
Mom's Business Phone:
Dad's Place of Business:
Dad's Business Address:
Dad's Business Phone:

School Child's Attending:
School Grade:
Previous Dance Experience? Yes No
If yes, With Whom?
How Long?
   
*Emergency Contact: Name: Number:
*How did you hear about us?
Will you participate in the 2008 Concert? Yes No

*Classes wishing to enroll in (check all that apply):

Ballet Pointe Tap Jazz
Modern Dance Team Musical Theater Hip Hop
Lyrical CoMotion Tumbling Cheerleading
Combo I
(Ages 2-3)
Combo II
Ages 4-5

Combo III
(Ages 5-7)

Ballet/Tap/Jazz Combo
(Ages 6-8)

I hereby accept the terms of the enrollment contract (below) and agree to all guidelines
I do not accept the terms of the enrollment contract

*Print Full Name: *Today's Date:

Enrollment Contract

Please read carefully. you will be asked to sign this contract at the Studio 10 office. Be sure to retain a copy for your records, as these policies will be strictly followed. Exceptions or changes cannot be made for any reason.

Registration Fee

The undersigned, as a guardian of the registered, above listed student, makes application on his/her behalf for acceptance into classes at Studio 10 Dance Center. I understand a $45.00 non-refundable registration fee must accompany this form.

Withdrawl, Dropoping a Class/Classes & Refund Policy

  • A 30 day IN ADVANCE WRITTEN notice will only be accepted by the Studio 10 office to terminate enrollment before the end of a semester. Please obtain the "Drop Form" from the Studio 10 office. Verbal or telephone notice to a faculty member or to the office is not valid.
  • Studio 10 Dance Center is a Year-Round Dance Center (August '05 - August '06). To terminate enrollment, drop a class, or make changes, it must take place at between January 1st - 7th, 2008with ALL TUITION PAID IN FULL through the end of the semester. The only other time you may drop from classes at Studio 10 Dance Center or drop a class from your schedule, is at the end of the spring semester (June 30, 2008) with ALL TUITION PAID IN FULL through June 30, 2007, even if the student does not attend classes through June 30, 2008.
  • No refunds are given for tuition, registration, end of the year concert fee or costume fees.

Tuition & Fees

  • As Guardian of the registered student, you are responsible for all tuition for each moth from August 1, 2007 or from the time of enrollment through June 30, 2008, unless the "Drop Form" is given to the office at the above specified times, even if the above listed student does not attend theses classes. The $45.00 registration fee is required to be paid again if a student withdraws at anytime and returns thereafter.
  • The preferred method of payment is automatic deduction from your checking account (forms available in the Studio 10 Office), credit card on file, or payment in full for the entire year (discount will apply.) Receipts are not given for checks. Studio 10 Dance Center does not have change, therefore when paying cash please have the exact amount and be sure to receive a receipt. Online payments are also acceptable.
  • If paid monthly, Tuition is due the first class of the month. If tuition is not received by the 7th of each month a $10.00 late fee will be added to your account and after the 20th of each month an additional $15.00 late fee will be applied. Any balance not paid in full by the end of the month receives a 10% charge applied to the remaining balance each month until the balance is cleared. If the tuition is not received by the end of the month, the student will only be allowed to observe class and will not be allowed to participate. We will allow the student to call his/her parent to rectify the situation. After two (2) consecutive months of non-payment, the student cannot enter the class(es) and will be required to repay the $45.00 registration fee upon return.

Insurance

  • Studio 10 Dance Center does not carry medical insurance for its students. It is required that all students be covered by their own family insurance polices. If injury occurs, it is understood that the student's own policy is your only source of reimbursement.
  • As a condition of acceptance in dancing classes, I hereby covenant and agree to hold Pat Holbrook and Studio 10 Dance Center harmless and forever indenmify it, its owner, and its agent from any and all liability arising from injuries which my child should sustain while on the premises occupied by the school.

 

The policies of Studio 10 Dance Center will not change or exceptions cannot be made by Pat Holbrook or the office staff, as these policies are set in place to ensure the smooth and professional operation of Studio 10 Dance Center.

I understand that upon enrollment in the Studio 10 Dance Center, I have read, understood, and agree to abide by all of the school policies while attending classes at Studio 10 Dance Center THERE WILL BE NO REFUNDS FOR ANY REASON. Upon re-enrollment of the above listed student in subsequent classes, I understand and agree that the condition above will be applicable to such reenrollment and binding on me without the necessity of completing another enrollment contract.

We reserve the right to refuse service and terminate enrollment.

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