2025-2026 SDC MEMBERSHIP APPLICATION

SOPHISTICATION DANCE COMPANY

1361 PARK AVENUE EAST, MANSFIELD, OH. 44905

419-571-7923

www.sophisticationdance.com

sophisticationdance@gmail.com
SDC MEMBERSHIP APPLICATION
Team Requesting
Students Name*

First NameLast Name
Students Birthdate*

MonthDayYear
Students Age*
Students School*
Students 2025-2026 Grade in School*
Home Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Phone Number
Please enter a valid phone number.
Student's Email
example@example.com
Mother/Legal Guardian *

First NameLast Name
Phone Number*
Please enter a valid phone number.
Parent Email
example@example.com
Father/Legal Guardian

First NameLast Name
Phone Number
Please enter a valid phone number.
Emergency Medical Form

Purpose: To enable parents and guardians to authorize the provisions of emergency treatment for children who become ill or injured while under Sophistication Dance Company’s authority, when parents or guardians cannot be reached.
Part 1- To Grant Consent

In the event reasonable attempts to contact me (parents/legal guardian) have not been successful, I hereby give my consent for treatment deemed necessary of any preferred physician or preferred dentist (or in the event the designated practitioner is not available, by another licensed physician or dentist). If preferred or licensed physician/dentist is not available, give my consent the transfer of the child to preferred hospital or any hospital reasonably accessible.
This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists, concurring in the necessity for such surgery are obtained prior to the performance of such surgery.
Preferred Physician

First NameLast Name
Preferred Physician Phone Number
Please enter a valid phone number.
Preferred Dentist

First NameLast Name
Preferred Dentist Phone Number
Please enter a valid phone number.
Preferred Hospital
Part 2- Refusal to Consent (please DO NOT fill out if you filled out part 1)

I DO NOT give consent for emergency medical treatment of my child. In the event of illness or injury requiring emergency treatment, I wish for Sophistication Dance Company authority to take no action or to:
Answer
Please provide what you would like SDC to do in the event your child needs medical attention.
Briefly list any information regarding medical conditions that would be of helpful should medical attention be required.
May your child have Tylenol?*
Yes or No
Mother/Legal Guardian

First NameLast Name
Mother/Legal Guardian Signature (Please sign N/A if it doesn’t apply)*

Powered by Jotform SignClear
Father/Legal Guardian

First NameLast Name
Father/Legal Guardian Signature (Please sign N/A if it doesn’t apply)*

Powered by Jotform SignClear
Parent Code Of Conduct
Practices are CLOSED. Dancers are to be dropped off at the front entrance door of the studio no sooner than 5 minutes before their class time. All dancers must be picked up promptly. If your child does not have practice or it is not their practice time, they are not to be at the studio without permission from the SDC Staff. There is a CHILD CARE FEE of, $15.00 for every 10 minutes you are late that you must pay the coach that has to stay after practice to wait for you to return to pick up your dancer.
For recitals, all dancers must arrive dressed and ready at their assigned time. All dancers must stay for the entire show. For competitions, times are given to parents for dancers to be ready and in the room, which needs to be followed at each competition. If you choose to get your dancer ready before you arrive at the school, you are still required to be there at the assigned time. If you leave the school, you must notify your coach that you are doing so and you must return in time for the dancer to be ready at the assigned time for their next performance. All dancers must stay for awards, unless excused by Krystle.
There will be a mandatory fundraiser for our competition teams that you are required to participate in. This money will be going to the Competition Fees. If no one from your dancers’ family participates or works at the fundraiser, you will be charged the full competition fee.
The use of Sophistication Dance Company’s name or logo may not be used for solicitation purposes without the consent from the director. ***Under NO circumstances will any negative comments, discrediting of the company or the SDC staff be tolerated and will be grounds for your dancer or dancers immediate dismissal from the company. If you have any questions or concerns, you may speak with any of the SDC staff BEFORE or AFTER practices. You may call them before 9:00pm as well. Do not disrupt practices. Competitions/recitals are NEVER the time or place to address any issues. It is very inappropriate and unacceptable to approach SDC staff during this time. All decisions made by the SDC staff are made with the hopes of building a strong and positive company. We always have our dancers’ interest at heart when making decisions. We are a dance family and expect everyone to show RESPECT to everyone.
2025-2026 Fees
Payments are due on the 1st of every month. There will be NO REFUNDS OF ANY FUNDS ISSUED. **There will be a $35.00 charge for any returned checks. There will be a $35.00 late fee applied to your account on the 6th day of the month for ANY balances that are still due on your account. This will continue to accrue each month until the account is brought current with a ZERO balance. All late fees will be deducted from your payment first and the rest of the money will be applied to your account. If your account is late for 2 consecutive months, your child will be asked to leave the company. If your account is not current, we will not order your child’s costume and your child will not be able to compete and/or perform at any recitals. You may call or text Denny for questions you have. You may only discuss concerns regarding your account with Denny. If you choose to leave the competitive dance team after the season has started (July 1st) and before the end of the season (final recital) you will be charged a $250.00 fee. SIGNING THIS FORM AND CHOOSING OUR COMPETITION TEAM, YOU HAVE AGREED TO THIS FEE!
YEARLY REGISTRATION FOR ALL STUDENTS

$70 due at the time of registration
SENIOR-ELEMENTARY COMPETITION DANCERS MONTHLY FEE

$140.00 x 10 months July-April (4 $60 Costumes included. Must pay for any additional costumes and if any of the provided 4 costumes are over $60). All additional costumes are due October 1st. You must pay the monthly fee for the highest team you dance on. For example if you are on Minis and Elementary, you must pay Elementary fees.
MINI COMPETITION DANCERS MONTHLY FEE

$130.00 x 10 months July-April (2 $60 Costumes included).
COMPETITION SIBLING MONTHLY FEE

$100.00 x 10 months (4 $60 costumes included)
COMPETITION FEES

Competitions are NOT included in the monthly package!!! Those run anywhere between $50-$75 PER DANCER PER ROUTINE!!! We will be attending 4-6 studio competitions this year. These all must be paid out of pocket or by fundraisers. **Competitions that are not per dancer (meaning each team has a set fee regardless of how many dancers there are) will be divided by how many girls are on the team. Competitions Fees for Minis, Elementary, Juniors and Seniors are paid separately. Payments for competitions will begin in September.
Competition Team Monthly Package Breakdown (what all is included in the monthly fee).
TINYS FEES (introduction team to competitive dance doing one competition plus 2 recitals).

$65.00 per month ($80.00 a month for technique and/or tumbling classes) **$85.00 costume fee (Due October 1st) **$20.00 dance paws (Due October 1st) **$20.00 team shirt (Due November 1st) ***$75.00 competition fee (Due December 1st)
RECREATIONAL CLASSES FEES (non-competitive)

$65.00 per month ($80 a month if taking tumbling classes) **$85.00 costume Fee (Due October 1st) **$20.00 dance paws (Due January 1st)
TUMBLING/TECHNIQUE CLASS ONLY

$65 per month
I understand that dancing/tumbling can involve the risks of serious injury. These risks of injury include the possibility of neck and spinal injuries, and other injuries to the body, nerves, joints, ligaments, muscles, etc. I also understand that permitting my child to participate with Sophistication Dance Company is to subject my child to the possibility of injury as stated above. In consideration of Sophistication Dance Company, permitting my child to participate in dancing/tumbling programs, I hereby agree to assume all risks of injury to my child associated with this company. I release, discharge, and agree to hold harmless Sophistication Dance Company, and their staff from any liability from any and all claims, which is any manner, arises from or as a direct or indirect result of this service.

In addition, I give my consent to Sophistication Dance Company to use/publish my child's photograph for studio advertisements, promotions and/or media release. By signing the assumptions of risks and release, I acknowledge that I have read and understand its contents and warning, and that I agree to this form.
Mother/Legal Guardian*

First NameLast Name
Mother/Legal Guardian Signature (Please sign N/A if it doesn’t apply)*

Powered by Jotform SignClear
Mother/Legal Guardian Phone Number
Please enter a valid phone number.
Father/Legal Guardian Signature (Please sign N/A if it doesn’t apply)*

Powered by Jotform SignClear
Father/Legal Guardian

First NameLast Name
Phone Number
Please enter a valid phone number.
Please provide any additional people that may make payments to students account. This helps us know when payments are made online who to apply the payments to.
Ex. Grandmother- Jane Doe
Please provide two emergency contacts (other than mother and father).
Name*

First NameLast Name
Relationship*
Phone*
Name*

First NameLast Name
Relationship*
Phone*
Date*

MonthDayYear
Date
Should be Empty:

SDC MEMBERSHIP APPLICATION

Emergency Medical Form

Part 1- To Grant Consent

This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists, concurring in the necessity for such surgery are obtained prior to the performance of such surgery.

Part 2- Refusal to Consent (please DO NOT fill out if you filled out part 1)

Parent Code Of Conduct

2025-2026 Fees

YEARLY REGISTRATION FOR ALL STUDENTS

SENIOR-ELEMENTARY COMPETITION DANCERS MONTHLY FEE

MINI COMPETITION DANCERS MONTHLY FEE

COMPETITION SIBLING MONTHLY FEE

COMPETITION FEES

TINYS FEES (introduction team to competitive dance doing one competition plus 2 recitals).

RECREATIONAL CLASSES FEES (non-competitive)

TUMBLING/TECHNIQUE CLASS ONLY