Dance Year Form - Trainee Elite

Parent's Name *

Student's Name *

Student's Birthdate *

Phone *

Email *

Any allergies or medical conditions we should know about? *

Is your dancer interested in being a student assistant this year? *

No, thanks.

Yes, please!

Please read and check off the following: *

I acknowledge and understand that there will be monthly automatic drafts debited on the 15th of each month from now until the month of May, unless I proactively call and cancel this arrangement

I understand that I am required to either visit the front desk or call to provide my payment method information, and I hereby authorize the organization to automatically debit my account each month for the designated payments.

I am aware that in addition to my monthly tuition, there is a $825 (4 costumes) performance fee, which can either be spread out over the year or paid in full by November.

I hereby grant permission for the use of my child's likeness and image on social media and marketing materials for promotional purposes related to the program or organization.

Payment *

Dance Year Registration Fee

$50

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (XXX) XXX-XXXX for assistance. You can reply STOP to unsubscribe at any time.