Please print, fill out and mail in the registration sheet or fill out the form below.  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

On Line Registration

Dancer's Name

Phone

email 

Address

Birthday 

Contact/Guardian

Classes that you are registering for 8 week Friday Home School Intro class 1:00-2:30 Early Start Tuesday 4:30-5:15 Early Start Thursday 1000-1045 Preschool 1 Thursday 1045-1145 Preschool 1 Saturday 1030-1130 Preschool 2 Thursday 900-1000 Preschool 2 Thursday 200-300 Preschool 2 Saturday 1130-1230 $180/15 week session Preschool 3 Wednesday 330-430 Preschool 3 Saturday 1230-130 Intro to Dance Thursday 345-515 Intro to Dance Level 1 Friday 345-545 Level 2 Friday 345-615 and Wednesday 430-600 Level 3 Monday 330-630 and Wednesday 430-600 Level 4 Monday 330-630 and Thursday 530-815 Unlimited Package Ballet Wednesday 430-600 Ballet Intermediate Tuesday 530-700 Ballet Intermediate Thursday 600-730 Modern Mixed Levels Wednesday 700-900 Modern Intermediate Tuesday 700-800 Hip Hop Tuesday 345-430 Hip Hop Thursday 300-345 Gymnastics Tuesday 300-345

Dates of Class

Unlimited Students   please type out classes that you wish to register for 

Credit Card Information, please expect a $4 convenience charge

Name on Card   

Street Address

Zip Code  

Type of Card   Visa Master Card

Card Number  

CV Number  

Expiration Date 

By submitting this registration, I agree to the following:

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.