Registration

CREATIVE MOVEMENT SCHOOL OF DANCE

Moriglioni Moving Dance Company and Extra rehearsal schedule

Please print, fill out and mail in the registration sheet. You will not be considered registered until we have received your signature and full payment.

Registration Form to be turned in or mailed to the studio

Credit Card Payment Form to be turned in or mailed to the studio

or fill out the below form and submit

Creative Movement
School of Dance
(603)448-0243

Child's Name

Phone

Address

Age

required in order to send a price confirmation

Class that you are signing up for

Dates of Class

Credit Card Payment, please expect a $2 convenience fee

Name

Address

Zip Code

Phone Number

Type of Card

Card Number

CV Number

Expiration Date

Would you like to make the entire process even easier by purchasing a dance bag? For $75, you will receive a leotard, tights, tap shoes, ballet shoes, a tote bag and water bottle.

No, Thank you Yes, Please

Street shoe size

Leotard Size

Tights Size

I, the guardian of the above named, am aware of the physical demands of dancing. I understand that if, at anytime, my dancer does not feel comfortable executing a step, she or he should ask for extra assistance, or for the step to be modified. My dancer also understands that, at no time, should she or he be doing anything in class that has not been taught to him or her by the instructor. (In example...gymnastics) Keeping the physical risks in mind, I agree that I will not hold the teachers, choreographers, student teachers or student choreographers at Creative Movement School of Dance accountable for any injury that may occur while my dancer is learning to dance.

In registering my dancer for class at Creative Movement School of Dance, I agree that the registration is non-refundable, under any circumstance. I agree that, should I change my mind about my dancer taking class, prior to the third week of classes, the remaining amount is good towards school credit only. There are NO cash refunds. The amount transferred to school credit will be the tuition minus the registration fee and a fee for however many classes had passed. I am aware that after the third week of classes, there will be absolutely no refund or store credit awarded for any reason.

Even though I am paying on a credit card, I am aware that I am responsible for all of the payments as though I had paid up front and that all of the above agreements apply to me, regardless of the number of classes I choose to attend.

Agree Do not agree

NO REFUNDS

Last modified: 11/05/08