Beginner Ballet Dance Registration Form

Beginner Ballet Registration Form

Fill out the form carefully for registration
Student Name*

First NameMiddle NameLast Name
Dance Experience
Not Required
Birth Date*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Mobile Number*
Alternate Number
School
If applicable
Grade Level
If applicable

COURSE INFORMATION
Are you interested in private lessons?*

YesNo
SEMESTER TUITION:
- $50 per month
  - Tuition Can be paid weekly, monthly or in advance
- TUITION MUST BE PAID IN FULL BY THE 5TH OF EACH MONTH
  -10% OFF entire tuition if PAID IN FULL 6 MONTHS IN ADVANCE
- $35 Return Check Charge
- General Classes- Group Rate-$40 per student for 5 or more students
  - *Group must pay in full
- Private Sessions- Single $100: 2 Month Contract- 6 or 7 Scheduled Classes
  - *Class focus must be discussed before classes begin.
- - Private Sessions- Group $50 Admin Fee + $30 per Student: 2 Month Contract- 6 or 7 Scheduled Classes
  - *Class focus must be discussed before classes begin.
(Private Lessons are not a part of our regular schedule. Please, contact instructors if you’d like to schedule a Private Lesson for the semester.)

SAFETY INFORMATION
Emergency Contact #1*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Emergency Contact #2*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Allergies?*
N/A if Not Applicable
Any Medical information that staff should be aware of?*
Will only be shared with staff as needed.

PARTICIPATION AND WAIVER AGREEMENT
Guardian Acknowledgment

I blanks , am the parent/guardian of blank . I hereby grant permission for my son/daughter to participate in classes, activities, programs, and performances (assignments) offered by Igniting Arts Academy. I understand that, while students will be supervised by staff, I assume the risk associated with my child's participation in this program.
I acknowledge that I will not hold Igniting Arts Academy or its staff liable for any accidents, injuries, loss of property, or other incidents that may occur during or as a result of my/my child's participation in this program. This release of liability includes any accidents, injuries, losses, or damages to the student or other individuals or property that may result from the student's participation in this program.
I hereby release and agree to hold harmless Igniting Arts Academy, its officials, agents, and employees from any claims arising from my/ my child's participation in this program. I have read, understood, and accepted all the statements above and accept full responsibility as described.
I understand that my/ my child's participation in this activity is a privilege and that rules of acceptable behavior apply. I acknowledge that I have reviewed (with my child) the rules and requirements established for this activity, all policies and procedures, and the rules of conduct outlined in the Student Code of Conduct. I understand that my child must abide by these rules to participate.
Permission for me/my child to be included in photography/video of this program, and for my/his/her image and likeness to be used in advertising, press releases, or reporting regarding same, in electronic or print media, without expectation of compensation.

I give permissionI do NOT give permission
Student Signature

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Parent/ Guardian Signature (if applicable)

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STUDENT CODE OF CONDUCT
I am a member of a cooperative team of learners and ministers. We always operate with a kingdom mindset. I agree to:
- Exhibit respect toward others. Bullying, inappropriate language, exclusionary behavior, or disrespect towards peers or staff will not be tolerated.
- Conduct myself in a responsible manner.
- Obey all academy rules, including safety rules.
- ATTENDANCE is crucial; each missed classed is missed material, information and necessary practice. Remember, we only have a specific number of classes.
- ABSENCES – we understand that everyone gets sick and has important occasions that will cause students to miss class occasionally. We ask that you give us as much notice as possible.
- ARRIVE early for classes.
- ATTIRE –
  - No dangling or large jewelry.
  - Hair should be up and pulled away from your face.
- No food in the studios
- No street shoes on the dance floors
- Bring water to all classes
- ELECTRONICS: Cell phone use is not permitted during class. Phones are to remain in backpacks or with belongings; if students need to make a call phone to be put away before the student rejoins group. NO OTHER ELECTRONIC DEVICES. If a student is found using electronic devices during program time, the device will be removed and kept by senior staff until the student is picked up at end of their session. Unless instructed otherwise by staff members.
Student Signature

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Parent/ Guardian Signature (if applicable)

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HIGHLIGHTS & BENEFITS
- MINISTRY TEAM AVAILABLE – Ministry Team will minister at scheduled events in the local area.
- TRAVEL TEAM AVALIBLE- Travel Teams members will be chosen by directors based on various requirements. Travel Team will be responsible for paying their own Fees at Cost. Fundraising will be used to help reduce cost.
- RESPECTED STAFF – It is our intent to continue to partner with various instructors for our Regular Staff and Guest Choreographers.
- PARENTS CAN CUSTOMIZE SERVICE – If a parent wishes to hire a Staff Member for Additional Hours, etc. They can make the arrangements with the Individual Staff Member at our hourly rate and still use our facility.
- ADVISORY GROUP – Parents will be asked if they wish to be a part of our PARENT ADVISORY GROUP. 5 Parents each semester will be chosen to guide us through our process. FINAL Decisions will be based on the Directors of Igniting Arts Academy. Advisory Group will be asked to sit in on some teaching sessions to help grow in knowledge of the Arts Ministry.
- GARMENT FEES – Garment ideas and budget will be determined by Staff and Advisory Group. Once complete, all information will be shared in a Family Meeting.
- GOOD LOCATION – While our location will not be admittedly totally complete or perfect, we will do our best to improve and increase the quality of our services and our location as we move forward. With the support of our parents, community and seed sowers, we will be able to make improvements on a regular basis.
- ACADEMY GROWTH AND DEVELOPMENT – The liturgical dance/ mime/ flag/ and production community is huge and spans across the world. As opportunities present themselves, we will make plans to attend different conferences and events. We will NOT participate in any competitive events; all travel assignments will be strictly for ministry assignments or growth and development.
- FUNDRAISERS- Fundraisers will be used to help with travel cost, garments, production cost and tools. All students will be expected to participate.
- FAMILY MEETINGS- Periodically we will call a “Family Meeting” which consist of all students and parents/guardians to discuss predetermined topics and ideas.
Should be Empty:

Beginner Ballet Registration Form

COURSE INFORMATION

SAFETY INFORMATION

PARTICIPATION AND WAIVER AGREEMENT

STUDENT CODE OF CONDUCT

HIGHLIGHTS & BENEFITS