REGISTRATION FORM

STUDENT INFORMATION
Student(s) Name *
Student(s) Name
If applicable, list multiple dancers in this space.
Age/Date of Birth of all applicable dancers.
PARENT INFORMATION
Parent Name *
Parent Name
Address *
Address
Cell Phone *
Cell Phone
Work Phone
Work Phone
REGISTRATION INFORMATION
Day/Time/Name of Class
Day/Time/Name of Class
Day/Time/Name of Class
TUITION POLICY
IN FAIRNESS TO ALL STUDENTS, THERE WILL BE NO EXCEPTIONS TO THE FOLLOWING TUITION POLICY.
Initial
Initial
Initial
Initial
Initial
Initial
Initial
Initial
AGREEMENT *
I have read and agree to the above tuition policy, as well as, studio rules and dress requirements as shown in the brochure and/or website. I understand that I am responsible for full tuition each month for the class(es) I am registered in. I hereby waive, release and indemnify Danceworks of Miami and their agents, employees and independent contractors from any and all liability and damages in connection with my or my child’s participation in this program.
CREDIT CARD INFORMATION
The following information is required in order to process your registration form. A $25 single student or $45 family registration fee will be charged upon receipt of this form. Registration fee is non-refundable/ non-transferable.
Name (as it appears on the card) *
Name (as it appears on the card)
Please choose the correct fee amount: *
PAYMENT AGREEMENT *
I hereby authorize Danceworks of Miami to charge the above registration fee. I understand that this fee is non-refundable/non-transferable and will hold my space in the above registered classes.