Date: / Email Address:
Dancer Last Name: / Dancer First Name:
Address:
City: / Zip: / Dancer Birthdate: / /
Home #: / Mom Cell: / Dad cell:
Parents/Guardians:
Emergency Contact: / Phone#:

December 6th is the Costume Payment Deadline!!!

Costume fees must be paid by Dec. 6th or it will not be ordered. All Tuition Fees must be paid before receiving your costume for SHOWTIME!!!

Registration Fee Paid Costume Fee Paid

$25.00 Paid Date: ______Method/Check #:______Total Amount Paid: ______Method/Check #: ______

Class Schedule:

Office Use / Day / Time / Name of Class / Studio
Monthly Tuition Total / $

Medical Information

Does your child have a health or physical restrictions? Please briefly explain
Is your child taking any medication? If yes, what type?
______

( ) Dawn’s Dance Studio DOES NOT have permission to use photographs taken during classes, performances and events for advertising and website purposes.

I, the above mentioned parent/guardian, have received and agree to Dawn’s Dance Studio 2014-15 Policy Handbook, agree to the payment policies and authorize Dawn’s Dance Studio to charge my credit card per the terms herein.

Parent Signature: ______Date: ______

2014-2015 Payment Policy

Fees

An annual registration fee of $25.00 for first student, $20.00 for second and $15.00 with third and more per child.

May’s tuition is due by February 2015.

Full tuition is due on or before the 7th of each month; regardless of attendance and/or the number of classes in that particular month (number of classes may vary depending on holidays, breaks, etc) and may be paid via personal check (no post dated checks accepted), cash, ACH or debit/credit card (card charge is 2.83%) Tuition not paid by the 7th of each month will be charged to the credit card provided at time of registration including a $5.00 credit service fee.

Initials ______

Should your debit/card be declined for ANY reason (including decline, expired card, canceled card, etc.) tuition including a $15.00 late fee, and is due before your dancer will be allowed to enter class. Initials ______

If you elect to not place a credit card on file with Dawn’s Dance Studio, first and last month’s tuition is due at the time of registration. Tuition received after the 7th of the month will incur a $15.00 late fee, and is due before your dancer will be allowed to take class. Initials ______

Please circle: Visa / MC / Discover / American Express / No card on file

Card #: ______Exp Date: ___/___ CVC: ______Date: ______

Cardholder Name (Print): ______Signature: ______

By signing above, I have read and agree to Dawn’s Dance Studio 2014-15 Payment Policy.

WITHDRAW POLICY

Should a dancer need to withdraw from Dawn’s Dance Studio, an official Dawn’s Dance Studio withdrawal form must be submitted alone with a $45.00 drop fee, alone with applicable final payment, at least 20 days prior to the start of a new month. If a withdrawal form is not received at least 20 days prior to the start of a new month, then you will be responsible for the following month’s full tuition. You are responsible for all outstanding tuition, payment, and fees until an official Dawn’s Dance Studio withdrawal form has been submitted. Initials ______

All tuition, payments, and fees paid to Dawn’s Dance Studio are non-refundable and non-transferable.

Student Name

PLEASE TAKE A MOMENT TO ANSWSER THESE QUESTIONS

Students Goals

- What are your child's dance goals?______
- build strong technique and performance skills? ______
- become familiar with a variety of dance styles? ______
- build flexibility, get fit, and have fun?______
- other? ______

Parent participation in the End of Year Production: what can you help with?
____ room parent
____ ticket sells
____concession sells
____back stage
Do you have any special creative talents? Sewing, painting, crafting, etc.______

______

___ How did you hear about us?
___ word of mouth
___ flyer
___ Facebook
___ print ad (magazine, newspaper, mall poster)
___ friend
Who can we thank for telling you?
Name ______


What dance style would you like to see offered at Dawns Dance Studio?

______

Help us share the Joy of dance! Please provide the email addresses of a few friends you think would like information about Dawns Dance Studio.


1. ______


2. ______


3. ______

TUITION IS DUE EVERY MONTH BY THE 7th OF THE MONTH!!! A $10.00 LATE FEE PER CHILD WILL AUTOMATICALLY BE ADDED TO YOUR ACCOUNT AFTER THE 7th OF THE MONTH!!!

PRICES FOR YEAR 2014-2015

(CLASSES START THE WEEK OF August 11th)

Families with more than one person taking classes

at Dawn’s Dance Studio will receive discounts on

tuition only, not costumes. Break down follows:

1st student: no discount

2nd student: 10% off

3rd student: 20% off and so on….

To show our appreciation- the highest tuition family member will receive the highest discount %.

1 class a week=$40.00/monthly

2 classes a week=$75.00/monthly

3 classes a week=$105.00/monthly

4 classes a week=$130.00/monthly

*5 classes a week = $150.00/monthly

*6 classes a week = $175.00/monthly

*7 classes a week = $200.00/monthly

*This number does not include JOY Reh. or fees.

(Jazz Of Yuma, Inc. is its own organization and completely separate from Dawn’s Dance Studio.)

10% discount if paying for the entire year.

Registration fees are non-refundable. If a student takes a class anytime during the month, tuition is due for that month (no pro-rating). Registration fee is $25 for the first child. For multiple siblings : 2nd child reg. fee is $20, 3rd and more are $15 per child. After January 2014, each student’s registration fee is $15. If having to drop a class there will be a $45.00 drop fee for each class.

COSTUME FEES:

All Combo Classes = $65 ea.

All Beg Level, Jr. & Boy Classes = $70 ea.

All Other Classes = $75 ea.

All Adults and X-Large Sizes = $80 ea.

Any questions call 928-329-6858