Registration fee of $25 is due at time of registration and is non-refundable
Student Name ________________________________________________
Birthdate _______________ School ________________________ Grade ______
Address ___________________________________________________
City ________________________ Zip _____________ Hm. Ph.(_____ )__________________
Parent Email Adress___________________________________________________________
Mother’s Name _____________________________ Wk. Ph. (_____ )___________________
TDL#_______________________________ SS#_____________________________________
Father’s Name ______________________________ Wk. Ph. (______ )_________________
TDL#_______________________________ SS#_____________________________________
Has student ever danced before? Yes No If yes, Name of Studio and how many years__________________________
Please list Day & Time of class/classes if enrolled here last year.
1. _____________________ 2. ___________________3.___________________
(ballet ,tap & tumbling) Pre-Pointe ___ Pointe___ Hip Hop___ Tumbling___ Mom & Me___
Class ______________ Time _____________ Class ____________ Time __________
Class ______________ Time _____________ Class ____________ Time __________
Class ______________ Time _____________ Class ____________ Time __________
_________________________________________________________________________________________________________
Please read carefully as registration constitutes an understanding and acceptance of these and any other policies.
1. The Registration Fee is not refundable.
2. All tuition payments are due on the 1st of each month. After the 10th of the month a $20.00 late charge will be due.
3. You must give a 30 day written notice, if you decide to drop class/classes. If you drop, Any outstanding balance must be paid.
4. If you fail to inform us of your desire to drop, you are still responsible for any charges that may accrue on your account. We are not aware of any personal situations that may be going on. You may contact in person, by phone, or e-mail.
5. There will be a $35.00 returned check charge and a $10.00 reprocessing fee per check. All NSF’s must be paid in cash.
6. There is no reduction in tuition for missed lessons or holidays; no extra charge for 5-week months.
7. A minimum enrollment is required for a class to be scheduled.
8. Recommended dance attire is black leotard, theatrical pink tights, pink ballet shoes, black tap shoes (NO ribbons or bows).
9. Rachal Dance Studio is not responsible for lost or stolen articles. All items must be labelled and placed in a tote bag.
10. Rachal Dance Studio may add or change any policy.
I have read and understand the above Rachal Dance Studio policies, and agree to follow them and to attend for the entire school year in which I (or child) enrolled.
__________________________________________ ________________________
parent signature date