AMDA REGISTRATION - 2021 - 2022
Questions marked by * are required.
1. This form is for dancers or those who are combining dance and tumbling. To register for tumbling only please visit: www.avemariatumbling.com
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2. IMPORTANT: Please be careful to answer all questions marked by * - if any are missed the form will not process and you will be asked to arrow back and fix it.
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3. If you are registering multiple children; please list youngest to oldest separated by commas:
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4. Student's Name (First, Last) *
5. Student's Date of Birth: (MM/DD/YY) *
6. Student's Current Age: *
7. Guardian #1 Name (First, Last) and Cell Phone Number: *
8. Guardian #2 Name (First, Last) and Cell Phone Number
9. Student's Address: *
10. City *
11. Zip Code *
12. Apartment Number:
13. Preferred Phone Number *
14. If you are a new dancer or tumbler, please tell us how you heard about us? *
15. If you are a new or returning dancer and you refer a friend (who also registers) you will both receive a free dance recital costume (a $65 value!). Enter your referral's name here:
16. It is part of your commitment to stay informed of studio news and updates throughout the season by reading all emails, notices sent home, and bi-monthly newsletters. *
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17. Primary Email *
18. Secondary Email
19. Please choose your class(es): *
  • Cheerleading 101 - Mon/5:00-6:00pm
  • Ballet II - Mon/6:00-7:00pm
  • Pre-Pointe - Mon/7:00-7:30pm (Required for ALL Pointe Dancers)
  • Pointe I - Mon/7:30-8:30pm (Pre-Pointe and Ballet are required)
  • Ballet III - Mon/8:00-9:00pm
  • Pointe II - Mon/9:00-9:30pm (Pre-Pointe and Ballet are required)
  • Ballet I - Tues/4:30-5:30pm
  • Jazz I/II - Tues/5:30-6:30pm
  • Company I- Tues/6:30-7:30pm
  • Tap III - Thurs/6:00-7:00pm
  • Wee Dance - Wed/3:00-4:00pm
  • Ballet/Tap Combo - Wed/4:00-5:00pm
  • Ballet I - Wed/5:00-6:0pm
  • Lyrical I - Wed/6:00-7:00pm
  • Tap I/II – Wed/7:00-8:00pm
  • Wee Dance - Thurs/4:00-5:00pm
  • Ballet/Tap Combo - Thurs/5:00-6:00pm
  • Company II- Tues/6:00-7:00pm
  • Theater Jazz II/III – Thurs/7:00-8:00pm
  • Lyrical II/III - Thurs/8:00-9:00pm
  • Tumbling I – Fri/4:00-5:00pm
  • Tumbling II - Fri/5:00-6:00pm
  • Hip Hop I - Fri/6:00-7:00pm
  • Hip Hop II - Fri/7:00-8:00pm
  • Wee Dance - Sat/9:00-10:00am
  • Ballet/Tap Combo - Sat/10:00-11:00am
20. If you are registering multiple children please use this box to clarify which classes are for which child.
21. If there are any medical conditions or special needs for your child please indicate them here:
22. Tuition payments are due the 1st day of the month and considered late after the 7th day of the month. All accounts must have a credit card on file which will automatically be charged (along with a $10 late fee) on the 8th day of the month. *
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23. If you do not have a credit card please indicate that here:
  • I do not have a credit card to put on file
24. Card Number:
25. Card Expiration Date (mm/yy):
26. CVV CODE: (3 or 4 digit code on the back of your card)
27. Billing Zip Code:
28. NOTE: We do not issue refunds for any payments made. In most cases however, a credit will be offered. *
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29. Please choose 1 tuition option: *
  • Option #1: Pay registration fee and full annual tuition at the time of registration, receive a 10% discount on total tuition
  • Option #2: Pay tuition in 2 payments, (The 1st payment and registration fee are due at the time of registration, 2nd payment is due by 12/15) - receive a 5% discount on total tuition
  • Option #3: Pay tuition monthly. The 1st month’s payment and registration fee is due at the time of registration
30. The annual registration fee must be paid at the time of registration. Please choose your registration amount: *
  • $25.00-Single Child
  • $40.00-Family
31. Your first month’s tuition payment and annual registration fee are due at the time of registration. Please choose a payment option: (your child's place in class is not held until payment is made) *
  • Please use my credit card to process my payment according to the option I have chosen in #30
  • I will phone in my payment
  • I will pay through PayPal (click 'PayPal link' on the registration page)
  • I will come in and pay in person
  • Other (please provide more information using the box below)
32. If you chose 'other' in #31 please provide more information here:
33. If you wish you may sign up for auto-pay. Your monthly payment (if you have chosen tuition option #3) will be processed automatically on the 1st of the month using the card you provided. Auto pay ensures that your payment will always be on time and you will never have to worry about a late fee! Please indicate your preference: *
  • I wish to sign up for monthly auto-pay. I authorize Ave Maria Dance Academy to charge my credit card monthly for my tuition payment.
  • I do not wish to sign up for auto pay
34. Dance Parents - Please Mark your Calendar! All accounts will be automatically processed on 1/3/22 using the credit card we have on file for the recital fee ($35/dancer) and the costume fee ($65/class) If you wish to pay these fees another way please let us know by 12/17/21. *
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35. Don't leave yet! When you click submit you will be redirected to the parent agreement page (which may take a moment to load) *
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