Sign Up Sheet - 1-2 Dancers

Dancer 1*
Name
MonthDayYear
Birthday
Grade
Hope Scholarship?
Dancer 2
Name
MonthDayYear
Birthday
Grade
Hope Scholarship?
Parent*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
In Case of Emergency 1*
Name
Phone Number*
Please enter a valid phone number.
In Case of Emergency 2
Name
Phone Number
Please enter a valid phone number.
Class Signup (Choose one per child unless in same class)*

Petite Praisers (3-4yrs)Little Leapers (PreK - K)Monday Elementary (1st-2nd)Tuesday Elementary (3rd-4th)Thursday Elementary (4th-5th)Middle SchoolHigh SchoolAdult
Class Pricing (Pay whichever way is easier for you)*

Pay Monthly for 9 months ($30 per dancer per month)Pay in Full ($270 per dancer due in Sept)
Hope Scholarship Recipients: If for both dancers, please remember each child will have to submit for HS funds seperately through the Hope scholarship portal. We will not be able to collect payment for two dancers under one dancers name.
Method of Payments

Cash/CheckPaypalHope ScholarshipOmella ( Setup Free Automatic Monthly Payments)
General Consent to Enroll: I understand that my child and/or myself is being enrolled at my and his/her own risk. I hereby waive my right to claims against Leaps of Faith Dance Company. I understand and agree to the pricing above. I will ensure that my child arrives on time and is picked up promptly.

I have read, understand, and agree to all the above information:
Signature of Dancer or Parent/ Guardian*

Clear
Date

MonthDayYear
Date
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