Dance/Cheer Registration 2024

Child's Name*

First NameLast Name

Child's Birth Date*

MonthDayYear

Child's Grade for the 2024-2025 School Year*

Child's School For The 2024-2025 School Year?*

How did you hear about us?*

Child's Gender*

MaleFemale

Child's T-Shirt Size*

Child's Shoe Size*

Does the child have any allergies, chronic illness, or medical conditions? If yes, please describe.*

Guardian Name*

First NameLast Name

Guardian Cell Number*

Guardian E-mail*

example@example.com

Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact Cell Number*

Emergency Contact Name*

First NameLast Name

Age 3 - Prek Tues/Thurs (10:30am-11:00am) Product Image

Age 3 - Prek Tues/Thurs (10:30am-11:00am)Dance registration only. Weekly Class tuition is only $35 per week. Students Will learn the fundamentals in ballet, jazz, hip hop and cheer.

$100.00

Kindergarten - 1st Grade Tues/Thur (10:30am-11:30am) Product Image

Kindergarten - 1st Grade Tues/Thur (10:30am-11:30am)Dance Registration only. Weekly Class Tuition is only $35 per week. Students will learn fundamentals in ballet, jazz, hip hop, and cheer.

$100.00

Tiny Tot's 2 Year Old Tue/Thur (5:45-6:45pm) Product Image

Tiny Tot's 2 Year Old Tue/Thur (5:45-6:45pm)Dance Registration only. Weekly class tuition is only $35 per week. Students will learn fundamentals in Ballet, Jazz, Cheer, and Hip hop.

$100.00

Age 3 - Prek Mon/Wed (6:00-7:00pm) Product Image

Age 3 - Prek Mon/Wed (6:00-7:00pm)Dance Registration only. Weekly class tuition is only $35 per week. Students will learn fundamentals in ballet,tap,jazz and hip hop.

$100.00

Ages 3-Pre K Tue/Thur (6:00-7:00pm) Product Image

Ages 3-Pre K Tue/Thur (6:00-7:00pm) Dance Registration only. Weekly class tuition is only $35 per week. Students will learn fundamentals in ballet,jazz and hip hop.

$100.00

Kindergarten - 1st Grade Mon/Wed (6:15-7:15pm) Product Image

Kindergarten - 1st Grade Mon/Wed (6:15-7:15pm)Dance Registration only. Weekly class tuition is only $35 per week. Students will learn fundamentals in ballet, jazz, and hip-hop.

$100.00

Kindergarten - 1st Grade Tue/Thur (6:15-7:15pm) Product Image

Kindergarten - 1st Grade Tue/Thur (6:15-7:15pm)Dance Registration only. Weekly class tuition is only $35 per week. Students will learn fundamentals in ballet, jazz, and hip-hop.

$100.00

2nd-3rd Grade Mon/Wed (6:30-7:30pm) Product Image

2nd-3rd Grade Mon/Wed (6:30-7:30pm)Dance Registration only. Weekly class tuition is only $35 per week. Students will learn fundamentals in ballet, jazz, and hip-hop.

$100.00

2nd - 3rd Grade Tue/Thur (6:30 - 7:30pm) Product Image

2nd - 3rd Grade Tue/Thur (6:30 - 7:30pm)Dance Registration only. Weekly class tuition is only $35 per week. Students will learn fundamentals in ballet, tap, jazz, and hip-hop.

$100.00

4th-5th Grade Mon/Wed (6:45-7:45pm) Product Image

4th-5th Grade Mon/Wed (6:45-7:45pm) Dance Registration only. Weekly class tuition is only $35 per week. Students will learn dancing styles such as ballet, jazz, and hip-hop.

$100.00

4th-5th Grade Tues/Thurs (6:45-7:45pm) Product Image

4th-5th Grade Tues/Thurs (6:45-7:45pm) Dance Registration only. Weekly class tuition is only $35 per week. Students will learn dancing styles such as ballet, jazz, and hip-hop.

$100.00

Class Dance & Cheer Package Product Image

Class Dance & Cheer PackageOur Dance & Cheer Package includes your Class Leotard, Tan Class Tights, Cheer Class Shirt, Cheer Shorts, Ballet Shoes, Jazz Shoes, and Class Bag. Please allow 7-14 Business Days for packages to be disbursed to students.

$275.00

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Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Emergency Contact Relationship To Child*

I understand that this registration, tuition payments, and any additional fees are non-refundable, non-transferable and are not eligible for proration*

I understand that dance tuition is charged as a weekly subscription and fees are processed EVERY Sunday*

I understand to stop payments and cancel a subscription, I must submit the official withdrawal form. This form must be submitted at least 7 days before the future automatic draft date.*

I understand that no cash or payments are accepted at the Center. All payments must be made with debit or credit card on file.*

I am agreeing that all charges are being made with my consent and permission. I understand that if a problem arises with my account I will contact the billing department and resolve the issue directly with Rebecca Padgett School of Performing Arts before filing a dispute, claim, and/or request chargeback with my credit or debit card issuer.*

I understand my child's tuition subscription payments is based on enrollment and NOT student class attendance. I understand that my child's account will be charged even if my child is absent from class.*

I understand that my child's FIRST dance tuition subscription will process on the Sunday of their first week of dance class. *

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