2020/2021 Dance Enrollment Form

Amped To Dance

2020/2021 Student Registration
Fall/Spring Enrollments

New Students can enroll in classes on July 12th until classes are full for the 2020/2021 dance season.

After enrollment, you will receive a confirmation email/invoice from Amped To Dance confirming your enrollment in classes (please note this may take a few days for processing).

Please note that after this period all classes that are not full will then be opened up to new enrollments so please make sure you enroll prior to then in order to guarantee your spots in preferred classes.

Classes begin Monday, September 14th and continue until June 12th, with a recital date to be determined in June. Please note Amped To Dance follows the Maple Shade School District calendar for all holiday closings.

If you are having any issue with enrolment, please email: ampedtodance@gmail.com or call us at 856-452-1028 and we will help you.
Child Name 1: *

First Name Last Name Age / DOB School & Grade
Child Name 2:

First Name Last Name Age / DOB School & Grade
Child Name 3:

First Name Last Name Age / DOB School & Grade
Child Name 4:

First Name Last Name Age / DOB School & Grade
Parent /Guardian Contact 1 *

First Name Last Name Email Contact Number
Parent / Guardian Contact 2

First Name Last Name Email Contact Number
Emergency Contact *

First Name Last Name Email Contact Number
Address *

Street Address

City State / Province

Postal Code
Dance Experience *
Has the student had any medical history and / or allergies that Amped To Dance should be aware of? (write N/A if none) *
Does the student need to take any medications? *

Yes No
If yes, what medications?
Please specify

Please indicate below the classes you will be undertaking (You can make multiple selections for each child):
At Amped to Dance the mission is to foster self-confidence and creativity through dance in a fun, energetic environment. It’s where passion meets movement!

Each class your child enrolls in will focus on technique training, strengthening, and confidence-boosting. No matter what class your child takes their experience will be unforgettable.
Child 1:
Child 2:
Child 3:
Child 4:
2020/2021 Tuitions and Fees (10-month term)
An annual registration fee of $40 per child is charged at the beginning of the dance season in order to cover insurance, administration, and music licensing costs.

Monthly Tuition:

One class- $50/month

Two classes - $100/month

Three classes - $140/month

Four classes- $180/month

Five classes- $215/month

Unlimited- $240/month

MULTI CLASS DISCOUNTS

(Calculated as featured above)

3 Classes=$10 off, 4 Classes=$20 off, 5 Classes=$35 off, Unlimited Classes=up to $50 off

FAMILY DISCOUNTS

(Calculated per family on total amount of monthly tuition)

2 Students = 5%, 3 Students = 7%, 4 or more Students = 10%
Comments

TUITION AND FEES

THE REGISTRATION FEE AND FIRST MONTH'S TUITION PAYMENT IS NOT REQUIRED WHEN COMPLETING THIS FORM.

UPON ACCEPTANCE OF ENROLLMENT AN EMAIL WILL BE SENT CONFIRMING YOUR ENROLLMENT, THEN AN INVOICE WILL BE ISSUED FOR PAYMENT OF REGISTRATION AND THE FIRST MONTH'S TUITION.

PLEASE NOTE YOUR INVOICE MUST BE PAID IN ORDER TO SECURE YOUR DANCER(S) SPOT FOR THE 2020/2021 DANCE SEASON.

* A SMALL SERVICE FEE APPLIES TO ALL CREDIT AND DEBIT CARD PURCHASES!!!
Signature *

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Amped To Dance