Benson Dance & Tumble Registration SOLINA

Child's Name*

First NameLast Name

Child's Birth Date*

MonthDayYear

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

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

Child's Gender*

MaleFemale

How did you hear about us?*

Child's T-Shirt 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*

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Guardian Address*

Street Address

Street Address Line 2

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Emergency Contact Name*

First NameLast Name

Emergency Contact Cell Number*

Emergency Contact Relationship To Child*

Select your Class

TUESDAY 5PM-5:55PM “Dance With Me!” Dance/Tumble Ages 2.5YRS-4.5YRSTUESDAY 6:00PM-6:55PM “Little Movers Dance/Tumble” Ages 5YRS-8YRS

Choose your way to pay*

Season Subscription Weekly $15/wk Product Image

Season Subscription Weekly $15/wkSecure your dancer’s spot and enjoy exclusive savings with our Season Subscription! This option guarantees a reserved place in class while rewarding families who commit to the full Spring/Summer Season—culminating in our signature SHOWCASE on June 3rd! This dynamic class blends Ballet, Jazz, Hip-Hop, and Tumble, giving dancers a well-rounded and engaging experience. Don’t miss this opportunity for consistency, growth, and performance fun!

$15.00 Quantity

SOLINA MembershipBecoming a SOLINA Dance member means more than just weekly classes—it’s an all-access pass to exclusive perks designed to enhance your dancer’s experience! Your membership includes: ✨ Weekly Dance Classes – Stay enrolled in our engaging, skill-building dance program. 📲 Access to Our Exclusive App – Enjoy at-home practice videos, class updates, and direct communication with instructors. 🎟 Priority Ticket Access – Be the first to purchase tickets to our SHOW and other special events. 🚀 VIP Perks – Get early access to new programs, workshops, and special opportunities before the general public. 💃 Community & Connection – Stay in the loop with the latest SOLINA Dance news and events! Join our membership today and let’s keep the joy of dance going!

$35.00 Quantity

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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 for the duration of the session.*

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 Studio. 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 SOLINA Dance Productions 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. *

Join The Fun At SOLINA Dance Productions!

CHILD'S INFORMATION

GUARDIAN INFORMATION

EMERGENCY CONTACT INFORMATION

SELECT YOUR CLASS

SUBSCRIPTION GUIDELINES