PLEASE BE SURE TO PRINT, SIGN AND TURN IN THE LIABILITY WAIVER AND THE PARENT AGREEMENT ALONG WITH YOUR REGISTRATION FORM.

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LIABILITY WAIVER
You must print and fill out this liability waiver and submit it
with your registration form.
Click Here For Printable Registration Form  
  or Register for Classes Using the Online Form Below
2011 - 2012 Registration Form
Questions marked by * are required.
1. Dancer's Name(s) (If multiple please list them in age order; youngest to oldest separated by commas) *
2. Date(s) of Birth: (MM/DD/YY) (please list youngest to oldest separated by commas) *
3. Student(s) Age(s) (youngest to oldest separated by commas) *
4. Guardian #1 Name (First, Last) and Cell Phone # *
5. Guardian #2 Name (First, Last) and Cell Phone #
6. Student Address Information: (street address) *
7. City, Zip *
8. Preferred Phone Number *
9. Alternate Phone Number
10. Emergency Contact Name: (First, Last) *
11. Emergency Contact Home Phone
12. Emergency Contact Cell Phone:
13. Are there any special instructions, medical conditions, or special needs for your child?
14. If you are a new dancer, please tell us how you heard about us? If someone referred you, please let us know.
15. Ave Maria Dance Academy utilizes email to communicate with parents. It is part of your commitment to stay informed of studio news and updates throughout the dance season by reading all emails, notices and monthly newsletters. All emails will have: Ave Maria Dance Academy in the subject line. Please type your initials into the box to confirm that you have read this statement. *
16. Primary Email *
17. Secondary Email
18. Please choose your dance class(es) *
  • Creative movement–Mon/11-11:45am
  • Ballet/Tap Combo – Mon/4-5pm
  • Beginner Jazz – Mon/5-6pm
  • Beg.Tap – Mon/6-7pm
  • Beg./Int. Ballet – Mon/7-8pm
  • Pointe Class – Mon/8-9pm
  • Int./Adv. Lyrical – Tues/4:30-5:30pm
  • Int/Adv. Jazz – Tues/5:30-6:30pm
  • Tech. & Cond. – Tues/6:30-8pm
  • Modern – Tues/8-9pm
  • Hip-Hop - Boys Only – Wed/4:30-5:30pm
  • Beg.Hip-Hop(ages 5-8)Wed/5:30-6:30pm
  • Beg.Hip-Hop(age 9-11)Wed/6:30-7:30pm
  • Int./Adv. Hip-Hop – Wed/7:30-8:30pm
  • Wee Dance – Thurs/10:30-11:30am
  • Intermediate Tap – Fri/4:30-5pm
  • Adv. Ballet/Pre-Pointe – Fri/5-6:30pm
  • Ballet/Tap Combo – Sat/9-10am
  • Wee Dance – Sat/10-11am
  • Dance Company – Sat/11am-1pm
  • Advanced Tap – Sat/1-2pm
19. If it is not obvious please use this box to clarify which classes are for which child.
20. Please choose your registration amount *
  • $20.00-Single Child
  • $35.00-Family
21. Please choose your tuition option: *
  • Option 1: Pay registration and full tuition for the dance season at the time of registration (receive a 10% discount on total tuition.)
  • Option 2: Pay tuition in 2 payments. First payment and registration fee are due at the time of registration, second Payment is due by January 1st (receive a 5% discount on total tuition.)
  • Option 3: Pay your tuition in 9 monthly payments starting in September and ending in May. First tuition payment and registration fee are due at the time of registration. Subsequent payments are due by the 1st of each month and are considered late after the 10th (a $10 late fee will be applied after the 10th of the month, $15 after the 15th, $20 after the 20th).
22. If you wish you may sign up for the automatic payment option; you will receive $5 off your monthly tuition amount and you will never have to pay a late fee! Please indicate your preference: *
  • I do not wish to sign up for automatic payments at this time.
  • I wish to sign up for automatic payments (each month your tuition payment will be processed automatically by credit card)
  • I am paying my tuition in 2 payments, please process my card for the first payment after applicable discounts have been calculated.
  • I am paying my annual tuition in full for the season, please process my card after applicable discounts have been calculated.
23. If applicable, please provide the credit card number and expiration date (mm/yy)
24. Regardless of which payment option you choose you will be sent to PayPal automatically when you submit your registration. If you HAVE NOT chosen that option simply close the PayPal window and you are done. Please choose your payment choice below and then click the submit button. *
  • I wish to pay through PayPal.
  • I will come in to the studio and pay in person.
  • I have included my credit card information, please charge my card according to the tuition option I have chosen.
 
PARENT  AGREEMENT
You must print and sign the signature page of this agreement and submit with your registration form.