After School Program Enrollment Form

David and Dejah are professional dancers with a heart for teaching for the youth. Our goal is that our students will always strive to take what they are taught to new levels, endlessly exploring the world of creativity. This program will be focusing on dance education, basic technique, body awareness, fitness, and creativity. This will be accomplished through stretching, basic warm-up exercises, drills, choreography, and freestyling. Aside from dance, students will learn positive words of the day which Promotes self esteem, confidence, and positive thinking. We will have an end of the program Showcase.

Learn More: https://www.theacestudios.com/schools

Please complete and submit one form per student being enrolled in the After School Program.

Questions? Email Dejah@theacestudios.com
All registrations are received and reviewed in a first come, first serve basis.

(Please Select Your Child's School)

Parent's Name*

First NameLast Name

Parent's Phone Number*

Area CodePhone Number

Parent's Email*

Student's Name*

First NameLast Name

Grade*

KindergartenGrade 1Grade 2Grade 3

Please check the After School Program enrollment option for your child:*

MURDOCK ELEMENTARY 12 week Session K-2nd Day/Time Tuesdays 2:15-3:15 (Rate $265)Covenant Christian School 12 week Session AGES: K-2nd Thursdays Time: 3:30-4:30 (Rate $265)

Information

Murdock Elementary

Grades: K-2nd

Day: Tuesdays

Time: 2:15pm-3:15pm

Length: 12 sessions

Covenant Christian School

Grades: K-2nd

Day: Thursdays

Time: 3:30pm-4:30pm

Length: 12 sessions

Please indicate your child's default dismissal plan:

My child will remain in the After School Program until being picked up on:

Please note any known medical conditions/allergies:*

Please specify each person, including the name of parents, who has permission to pick up your child from the After School Program.

Authorized Person 1:*

First NameLast Name

Phone Number 1:

Area CodePhone Number

Authorized Person 2:

First NameLast Name

Phone Number 2:

Area CodePhone Number

Authorized Person 3:

First NameLast Name

Phone Number 3:

Area CodePhone Number

Authorized Person 4:

First NameLast Name

Phone Number 4:

Area CodePhone Number

Please Select Your School

Murdock Elementary Dance$265.00

Please see Information above for more details.

Quantity
Item subtotal:$0.00

Covenant Christian School Dance$265.00

Please see Information above for more details

Enter coupon

Total $0.00

I/we realize that participation in dance classes and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By signing this release form, I/we (the dancer and parent/guardian) assume all risks related to the use of any and all spaces used by ACE Studios.
I/we agree to release and hold harmless ACE Studios including its teachers, dancers, staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future. I/we will not hold ACE Studios liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes. Furthermore, I/we agree to obey the class and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by ACE Studios.
I understand that ACE Studios is a licensed and insured business. In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to the Owner, Director, Instructor or Staff member as soon as possible.

I have read and understand the Release of Liability contained here.*

Agree

I give ACE Studios permission to bill me for the After School Program services indicated on this Enrollment Form.*

Agree

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

ACE Studios' Dance After School Program Enrollment

Release of Liability