FALL 2018-2019 Registration Form

To register online, please fill this form out completely. Your credit card will not be charged until you hit the “Submit Registration” button on the last screen.

If you would rather fill out a paper form and bring it in or mail it to us, Click HERE to print out a pdf version of this form.

NOTE: If you have more than one dancer, you must fill out a separate registration form for each one.

If you've registered previously and would like to use your same information, enter your email address here:

DANCER’S INFO
Dancer's Name First:   Last: 
Date of Birth (mo/day/yr) / /
Address (incl. apt. #)
City   State   Zip
Family E-mail address
PARENTS’ INFO
Required if dancer is under 18 and/or still living at home.
Parent 1 Name First:   Last: 
Parent 1 Phone Numbers Home:   Work:   Cell:
Parent 2 Name First:   Last: 
Parent 2 Phone Numbers Home:   Work:   Cell:
EMERGENCY INFO
This information is used in the event that we CANNOT reach a parent.
Emergency Contact Name First:   Last: 
Emergency Contact Phone
Relationship to Dancer
Doctor’s Name First:   Last: 
Doctor’s Phone
NOTES

Please enter any notes, requests, or comments you have for us.

CLASSES DESIRED

Please click the checkbox(es) to indicate desired level.

PRESCHOOL and PRIMARY

PRESCHOOL, PRIMARY, AND MINI

Session Fees in this section represent 12 weeks of classes. There are 3 Sessions in our regular school year. Costume/Production fees are not included here as they will be invoiced separately for those interested in performing.

Cost: 1 class/week = $109, 2 classes/week = $181, 3 classes/week = $265, 4 classes/week = $337.

Attention: please place a “1” in the yellow box to indicate 1st class choice, a “2” to indicate second choice.

PRESCHOOL
PS Dance Mix
Mon 2:00pm, 25 min. (2.5-3yrs)    Wed 10am, 25 min. (2.5-3yrs)    Thu 10:00am, 25 min. (2.5-3yrs)    Sat 9:00am, 25 min. (2.5-3yrs)   
Tiny Tumblers
Mon 2:30pm, 25 min. (2.5-3yrs)    Wed 10:30am, 25 min. (TinyTumblers: 2.5-3yrs)    Thu 10:30am, 25 min. (2.5-3yrs)    Sat 9:30am, 25 min. (2.5-3yrs)   
iMakeMusicMove
Preschool Boppers $0
Preschool Boy O Boy $0
FINE ARTS FUNDAYS
Fine Arts Fundays
PRIMARY
PR Ballet
Mon 3:00pm, 25 min. (PR Ballet Beats: 4-6yrs)    Thu 3:00pm, 25 min. (PR Ballet Beats: 4-6yrs)    Sat 10:00am, 25 min. (PR Ballet Beats: 4-6yrs)   
PR Tap
Mon 3:30pm, 25 min. (4-6yrs)    Thu 3:30pm, 25 min. (4-6yrs)    Sat 10:30am, 25 min. (4-6yrs)   
PR Hip Hop
Mon 4:00pm, 25 min. (4-6yrs)    Sat 11:00am, 25 min. (4-6yrs)   
PR Acro
Mon 4:30pm, 25 min. (PR Acro/Tumbling: 4-6yrs)    Sat 11:30am, 25 min. (4-6yrs)   
Primary Boppers $0
MINI
Mini Tap
Thu 4:30pm, 25 min. (Mini Tap (typically ages 6-8yrs))  
Mini Jazz
Thu 5:00pm, 25 min. (Mini Jazz (typically ages 6-8yrs))  

$AVE with a Pre-School/Primary/Mimi PERFORMER'S PACK

PS/PR Performers MONTHLY Payment Plan
# class/wk PS PR 1 perf PR/MN 2 perf
1 $50 $50 n/a
2 $72 $72 $81
3 n/a $97 $106
4 n/a $119 $128

Is your PS/PR/MN dancer is a shoe-in for our show? MONTHLY Payment Plan Includes: Classes, Costume, Tights (1 pair), Show T-shirt, Digital Recital Video Download, 2 Premium Tickets. Primary/Mini Dancers: SELECT 1 or 2 routines (must be in at least 2 classes for 2 routines). See chart on the right for payment schedule.

If interested, check the box below and enter your ACH payment information. This option requires ACH payment.

Yes, sign me up for the monthly plan. (Amount due below will not reflect the payment plan; we will set that up on our end.)
Number of routines:
ENRICHMENT
Fees below represent 12 weeks of classes/lessons. Except where indicated with an NP or an OP, Fees below also include costume/tights and production fee. [1 pair tights per costume].
BoyOBoy   $0
Acro  
  • Returning Acro students will receive Fall Placements via e-mail early August. If you are new or registering prior to placement announcements, simply select "request placement" below.
(Request placement)   Tue 3:00pm, 55 min. (Mini Acro (generally ages 6-8yrs))   Tue 5:00pm, 85 min. (Acro I/II (typically ages 9-Teen))  
$374
Tap  
Mon 5:00pm, 55 min. (Junior Tap (typically ages 9 - 12yrs))    Mon 6:30pm, 55 min. (Teen Tap (typically ages 13 - 18yrs))   
$374
Jazz  
Wed 5:00pm, 55 min. (Junior Jazz (typically ages 9 - 12yrs))    Wed 6:30pm, 55 min. (Teen Jazz (typically ages 13 - 18yrs))   
$374
Hip Hop   OP (Option to Perform! Costume & Production Fee invoiced separately for those interested!)
Thu 4:00pm, 55 min. (BBoyz/HipHop (7-11+yrs))    Thu 5:00pm, 55 min. (HIPHOP/Step (10-Teen))   
$0
BalletEx (Cecchetti Graded Ballet)  
Mon 4:00pm, 55 min. (Junior Ballet Cecchetti GI (typically ages 9-12yrs)) | 0    Mon 5:15pm, 70 min. (Teen Ballet Cecchetti GI/II (typically ages 13 - 18yrs)) | 267    Wed 3:00pm, 55 min. (Mini Ballet Cecchetti Grade I (typically ages 6-8yrs)) | 0   
$219
Ballet Lab 
Wed 5:00pm, 70 min. ( Teen Ballet Lab (typically ages 13 - 18yrs)) | 326   
$278
Ballet
 
$369
  Ballet (Non-performance — no costume)
$219
Tech   NP (Non-Performance)
$0
Kids Groove
$0
Stage Dance Styles
$0
Jr Combo  
$0
Theater Dance
$0
Lyrical
$0
Open Acro (*Non-performance — no costume)
$0
CODA

CoDa's MONTHLY INSTALLMENT FEE INCLUDES: weekly class AND weekly rehearsal AND production fee (expect separate costume/performance gear invoice in Sept).

  1. Check box on the left.
  2. Select a Ballet, Jazz, Acro, Tech, or Stage Dance Styles class above.
$0
OTHER CLASSES
Kickline
$0
Strength & Stretch
$0
Voice Workshop — Winter 
$0
Voice Workshop — Spring 
$0
ADULT CLASSES
Techno Ballet 
$0
Adult Tap 
Mon 8:00pm, 55 min. (12 Class Series = $180 >> classes must be completed within registered Session) ($180)   Mon 8:00pm, 55 min. (6 Class Series = $96 >> classes must be completed within registered Session) ($96)   Mon 8:00pm, 55 min. (Drop-In = $20 per Single Class) ($20)  
$165
Adult Ballet 
Wed 7:00pm, 55 min. (6 Class Series = $96 >> classes must be completed within registered Session) ($96)   Wed 7:00pm, 55 min. (Drop-In = $20 per Single Class) ($20)   Wed 8:30pm, 55 min. (12 Class Series = $180 >> classes must be completed within registered Session) ($180)  
$165
Pound 
$0
Zumba 
$0
Baby on Board 
$0
Wee Workout 
$0
DREAM TEAMERS
  1. Check your team below.
  2. Select all related base classes (refer to Team requirements page).
  3. Select, above, any additional optional class(es).
  4. All in? If you are registering for an ALL IN program, your monthly Team Installment amount will be discounted! (some restrictions apply)

TEAM FEES LISTED BELOW ARE MONTHLY INSTALLMENTS COVERING CLASSES, REHEARSALS, COSTUMES, TIGHTS (1 PER COSTUME), PRODUCTION FEE, AND MOST TEAM EXPENSES. 

Need to leave a short note? If you have any other message you need to have us see regarding your registration, please enter a note in the box below.

New to the Team? Welcome! Please let us know the extent of your training (enter a note in the box below) and call studio so we may help you determine appropriate classes/placement.

To participate in Dream Team activities, you must agree to the Dream Team Requirements, listed here. By checking this box, I state that I have read and agree to the Dream Team Requirements.

Mini Team 1   $157
Mini Team 2   $225
Mini Plus Adds Acro (indicate 60 min class in Acro section above) $67
Junior Team 1 $201
Junior Team 2 $297
Junior Plus A Adds Acro (indicate 90 min class in Acro section above) $99
Junior Plus B Adds Ballet Lab (indicate 60 min class slot in Ballet section above) $70
Teen Team 1 $216
Teen Team 2 $312
Junior Plus A Adds Acro (indicate 90 min class in Acro section above) $99
Junior Plus B Adds Ballet Lab (indicate 60 min class slot in Ballet section above) $85
Emerald/Garnet Team $0
Garnet Team $0
HSDT 1 $0
HSDT 2 $0
HSDT 3 $0
Add Pointe [Mon 4:15pm, 40 min. (POINTE and Pre-Pointe (11-TEEN)) & Wed 4:15pm, 40 min. (POINTE and Pre-Pointe (11-TEEN))] (no costume deposit included in Pointe fee) $130
If Chrome Acro, add: $0
If Open Acro, add: $0
Optionals: I have added classes (add $40 per class)
TOTAL DUE
 

TOTAL PAYMENT DUE:

I am already registered for this season

  1. Registration Fee: Your total will automatically include your dancer's registration fee ($ per dancer, max $ per family). We will adjust your registration fee manually if you have met your family max.
  2. Production Fee: IF you are registering for a performance class, your Enrichment Session Fee total will automatically include 1/3 of your Production Fee, OR 1/10 if a PS/PR Performer Plan or TEAM dancer.
PAYMENT INFO
Please autocharge my session/installment fees on due dates throughout the season.
Please charge registration fee & first session/installment fee ONLY — I will pay directly or charge by phone the remaining payments.

We encourage everyone to use our ACH option! WHY ACH?

  • It SAVES YOU $$!! ACH provides administrative efficiency to keep your overall fees as low as possible.
  • It’s convenient! (saving you time and postage).
  • It's dependable! Your payment is punctual (even if you’re out of town), eliminating potential late charges.
  • It's more secure! ACH is federally regulated. Unlike credit cards, ACH accounts are rarely compromised.

Here’s How ACH Works:

One-Time Authorization: You authorize your initial Session &/or Installment Payment be withdrawn from your checking or savings account. You will be charged only the amount indicated on our Tuition Table. A receipt for your payment will be emailed to you and the charge will appear on your bank statement as an ”ACH Debit.“ You agree that no prior-notification will be provided unless the date or amount changes, in which case you will receive notice from us prior to the payment being collected.

Recurring Authorization: Should you choose the Recurring Payment option, you will be charged each of the remaining season’s Session &/or Installment Payments using same procedure as above.

Payment Type

If you are registering for a monthly installment program (any of our Teams OR our new PS/PR/MN Performance Plan):

Please keep in mind, our entire reason for switching to ACH is to AVOID raising administrative fees which effect your overall tuition rates! IF you are unable to provide an ACH Authorization, the cost of that loss in efficiency will be applied to your dancer’s account: $15/month. This fee will be due and payable with your regular monthly installment. You can get back to the ACH option HERE.

Card Number
Name on Card
Expiration Date /
ACH Basic Information

I, authorize A Dancer’s Dream, Inc. to charge my bank account indicated below and as follows:

One-Time Authorization in payment of my dancer’s single Session and/or Installment Fee.

Recurring Authorization on each of the posted session and/or installment due dates indicated below:
Fine Arts Fundays Fall Session due dates: 8/15/18, 9/15/18, 10/15/18, 11/15/18, 12/15/18
Enrichment Session due dates
: 8/15/18, 11/5/18, 2/11/19.
PS/PR/MN Performers Plan and Dream Team installment due dates: beginning 8/15/18 and on the 15th of each month through 5/15/19.

Further, I understand that I may authorize additional fees (costume, reps, summer, etc) be charged per my my specific written, e-mail, or text request. I further understand and authorize any and all outstanding fees due on my dancer’s account over 15 days past the due date be charged via this ACH process.

Billing address:
City:     State:     Zip:
Phone:
Email:
Bank Information
Account Type: Checking    Savings
Name on Account:
Bank Name:
Account No.:
Bank Routing No.:
Bank City/State:

I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify A Dancer’s Dream, Inc. in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If the above noted periodic payment dates fall on a weekend or holiday, I understand that the payment may be executed on the next business day. I understand that because this is an electronic transaction, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF) I understand that A Dancer’s Dream, Inc. may at its discretion attempt to process the charge again within 30 days, and agree to an additional $35.00 charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized recurring payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I agree not to dispute this recurring billing with my bank so long as the transactions correspond to the terms indicated in this authorization form.

I agree to the terms above.

STUDENT WITHDRAWAL POLICY

If you have withdrawn within 4 weeks from the beginning of your first session with us (week #2 for Adult Programs), you qualify for a partial refund (= your payment less registration fees, costume deposit, and lesson fees for all classes held prior to your withdrawal date and including unattended classes). A WITHDRAWAL CONFIRMATION FORM must be completed and returned within 14 days of your withdrawal.

Please note: refunds can take up to 30 days to process.

Overdue balances remaining on account over 15 days will automatically be charged to your VISA/MC. If you are unable to provide an active card number, a flat fee of $25 per month will be applied to your account until all new and outstanding debt is satisfied in full.
DISCLAIMER OF LIABILITY

I, on behalf of the parties hereby registered, authorize A Dancer's Dream, Inc. & TAGteach International, LLC the use of the registered party’s image for educational and promotional purposes.  Further, A Dancer’s Dream, Inc., TAGteach International, LLC, their associates & assigns are not liable for personal injuries, loss of or damage to personal property.  Since dance is a physical activity, injuries may occur.  Each student may decline to participate in any activity which may be harmful & is responsible to inform the instructor, in writing, of any physical limitations which may prevent full participation in class or any associated event.

By checking this box, I release all liability and compensation as stated above.

ACCEPTANCE OF POLICIES

By checking this box, I state that I have read and accept the Accounting Fees and Policies, Dress Code, and Keeping You Up-to-Date information. Click the links to read these pages if you have not already done so.

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