New Student Registration Form

2022 Registration:

* Limit of 8 students in class **Limit of 12 students in class
Student age is determined for Fall season (Sept-Dec) by September 6,2021. For Spring/Recital season age by January 3, 2022.
Participant #1
Dance With Me! (Ages 1+)

May Session 5/14 & 5/21
Primary 1 Classes (Ages 3-4)*

Tuesday Jazz/Ballet 4:00-4:40 Wednesday P1/P2 Ballet 4:30-5:00
Primary 2 Classes (Ages 5-6)*

Tuesday Ballet 4:45-5:15 Tuesday Tap/Jazz 5:20-6:00 Wednesday P1/P2 Ballet 4:30-5:00 Thursday Hip Hop 4:00-4:30
Ages 7-9**

Monday Ballet 1 4:00-5:00 (FULL Add to Waitlist) Monday Jazz/Tap 1 5:50-6:50 Monday Lyrical 5:05-5:45 (must be enrolled in ballet)(FULL Add to waitlist)
Ages 10-12**

Wednesdays Tap 2 5:05-5:45 Wednesdays Ballet 2 5:50-6:35 Wednesday Jazz 2 6:35-7:20 Monday Lyrical 5:05-5:45 (must be enrolled in ballet) (FULL)
Ages 13+**

Monday Jazz 3 7:00-8:00 Monday Tap 3 8:00-8:45 Wednesday Ballet 3 7:25-8:25 Wednesday Contemporary 8:30-9:15
Hip Hop Classes (Ages 7+)**

Hip Hop 2 (ages 12+) Thursday 5:30-6:15 Hip Hop 1 (ages 7-11) Thursday 4:40-5:25
Work Out Classes (ages 12+)*

Workout w/Ms. Suze via zoom in studio $7 per class Workout w/ Ms. Suze $25 for the month (4 classes)
Participants Full Name *

First Name Last Name
Participant's Birth Date: *
Any allergies or medical conditions? *
Parent/ Guardian Name: *

First Name Last Name
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
Parent/Guardian E-mail *
example@example.com
Participant # 2

First Name Last Name
Participant #2 Birth Date:
Any allergies or medical conditions? (#2)
Participant #2
Dance With Me! (Ages 1+)

May Session 5/14 & 5/21
Primary 1 Classes (Ages 3-4)*

Tuesday Jazz/Ballet 4:00-4:40 Wednesday P1/P2 Ballet 4:30-5:00
Primary 2 Classes (Ages 5-6)*

Tuesday Ballet 4:45-5:15 Tuesday Tap/Jazz 5:20-6:00 Wednesday P1/P2 Ballet 4:30-5:00 Thursday Hip Hop 4:00-4:30
Ages 7-9**

Monday Ballet 1 4:00-5:00 Monday Jazz/Tap 1 5:50-6:50 Monday Lyrical 5:05-5:45 (must be enrolled in ballet)
Ages 10-12**

Wednesdays Tap 2 5:05-5:45 Wednesdays Ballet 2 5:50-6:35 Wednesday Jazz 2 6:35-7:20 Monday Lyrical 5:05-5:45 (must be enrolled in ballet)
Ages 13+**

Monday Jazz 3 7:00-8:00 Monday Tap 3 8:00-8:45 Wednesday Ballet 3 7:25-8:25 Wednesday Contemporary 8:30-9:15
Hip Hop Classes (Ages 7+)**

FULL Add to Waitlist Hip Hop 1 (ages 7-11) Thursday 4:40-5:25 Hip Hop 2 (ages 12+) Thursday 5:30-6:15
Work Out Classes (ages 12+)*

Workout w/Ms. Suze via zoom in studio $7 per class Workout w/ Ms. Suze $25 for the month (4 classes)
Participant # 3

First Name Last Name
Participant #3 Birth Date:
Any allergies or medical conditions? (#3)
Participant #3
Primary 1 Classes (Ages 3-4)*

Tuesday Jazz/Ballet 4:00-4:40 Wednesday P1/P2 Ballet 4:30-5:00
Primary 2 Classes (Ages 5-6)*

Tuesday Ballet 4:45-5:15 Tuesday Tap/Jazz 5:20-6:00 Wednesday P1/P2 Ballet 4:30-5:00 Thursday Hip Hop 4:00-4:30
Ages 7-9**

Monday Ballet 1 4:00-5:00 Monday Jazz/Tap 1 5:50-6:50 Monday Lyrical 5:05-5:45 (must be enrolled in ballet)
Ages 10-12**

Wednesdays Tap 2 5:05-5:45 Wednesdays Ballet 2 5:50-6:35 Wednesday Jazz 2 6:35-7:20 Monday Lyrical 5:05-5:45 (must be enrolled in ballet)
Ages 13+**

Monday Jazz 3 7:00-8:00 Monday Tap 3 8:00-8:45 Wednesday Ballet 3 7:25-8:25 Wednesday Contemporary 8:30-9:15
Hip Hop Classes (Ages 7+)**

FULL Add to Waitlist Hip Hop 1 (ages 7-11) Thursday 4:40-5:25 Hip Hop 2 (ages 12+) Thursday 5:30-6:15
Work Out Classes (ages 12+)*

Workout w/Ms. Suze via zoom in studio $7 per class Workout w/ Ms. Suze $25 for the month (4 classes)
Emergency Contact: This person will be called if the parent/guardian listed above does not answer in the event of an emergency or injury *

First Name Last Name
Emergency Contact Phone Number: *
Please enter a valid phone number.
Please list all full names of individuals who may Pick-up your student from class: *
Payment is due at time of registration to reserve spot in class

Payments can only be made via Cash, Check, or Finli processing
The options for payment methods are the only options to pay, if an option is NOT listed (Example:Venmo) then it is not approved to be used for studio payments.
How would you like to pay *
Registration Fee (annual)
$25 new students
$15 Returning students* returning students applies to students returning from June 2021

$10 Returning sibling (returning from June 2021)

Dance With Me!

$35 per session

Primary Classes (ages 3-6)
1 class $50/month
2 classes $70/month
3 classes $85/ month
4 classes $100/ month

Level Classes (ages 7+)
1 class $65/month
2 classes $90/month
3 classes $115/ month
4 classes $140/month
5 classes $160/ month
6 classes $180/ month
7 classes $200/month

Family Pricing

Primary Class Rate:
1 class $50/month Base Rate
Add $25 for each additional class

Level Class Rate:
1 class $65/ month Base Rate
Add $35 for each additional class

Family Package

up to 12 classes total a month

$325/month

Late Fee Policy
Tuition is due by the 5th of every month
If tuition is past due there will be a $10 late fee, this fee will accumulate weekly until balance is paid

Bounced Check fee is $35 and checks will not be accepted after one has occurred.

No refunds will be given only credit in certain circumstances

It is your responsibility to withdraw/give notice that your student will not be continuing classes at the end of the month before tuition is due for the next month

Unpaid tuition balances will result in the holding of costumes, no admittance to class, or no performance opportunities

Additional fees are required for performances as well as costumes for our Recital season (January-June)
Once your registration form is received, you will get an email after it is processed to confirm your student's spot in the classes selected. You will be given your total price for registration + Tuition and if you selected an electronic form of payment a request/invoice will be sent to you.

If you would like to use a debit/credit card the studio processes through Finli processing. ACH processing is available at no extra cost (link your bank payment). 3% is added for regular card transactions
Class Notifications on the Band App

Once registered you will be texted or emailed a link to join your student's class on the Band app. All studio notifications and updates will be posted on the Band app. Is it your responsibility to join and download the app. Please check it weekly for any important updates. The app will also be used to post class content such as videos and pictures for your student to use at home.
Band App is mandatory for student class information! No papers will be handed out for regular class information
Please list any numbers and/or emails you would like a Band link to be sent to: *
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19:

DSD= Danica's School of Dance

By Signing Below, I acknowledge the contagious nature of Covid-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Danica's School of Dance and that exposure or infection may result in personaly injury, illness, permanet disability, and death. I understand the risk of becoming exposed or infected by COVID-19 at DSD may result from the actions, omissions, or negligence by myself and others, including, but not limited to DSD employees, volunteers, program particpants, and families.

I voluntarily agree to assume all the foregoing risks and accpet sole responsibility for any injury to my child(ren) or myself (including but not limited to, perosnal injury, illness, disability, and death), illness, damage, loss, claim, liability, or expense of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)'s attendance at Danica's School of Dance or particpation in DSD programming ("Claims"). On my behalf and the behalf of my child(ren), I hereby release, covenant not to sue, discharge, and hold harmless Danica's School of Dance and Danica Vittoria, its agents, employees, volunteers, and representatives of expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on actions, omissions, or negligence of Danica's School of Dance, its employees, agents, volunteers, and representatives, whether a COVID-19 infection occurs, before, during or after particpation in any DSD program or class.
Date *

Month Day Year
Date
Signature *

Clear
Participant Name *

First Name Last Name
Participant #2

First Name Last Name
Participant #3

First Name Last Name
Registration is not complete to be processed until all 4 forms have been submitted (Waiver, Photo Release, Policies & Procedures).

Please return to the home page of the website to finish all forms listed
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2022 Registration:

Participant #1

Participant #2

Participant #3

Payment is due at time of registration to reserve spot in class

Class Notifications on the Band App

Band App is mandatory for student class information! No papers will be handed out for regular class information

Registration is not complete to be processed until all 4 forms have been submitted (Waiver, Photo Release, Policies & Procedures).