2025 Fall Registration and Payment Form

2025/2026 Fall Registration
IF YOU START IN SEPTEMBER IT WILL BE PRORATED AND CREDIT WILL APPLY FOR OCTOBER TUITION! EACH CLASS MEETS ONE DAY EACH WEEK. TUITION IS FOR THE MONTH.
Parent Name*

First NameLast Name
Parent Email*
example@example.com
Telephone Number*
Alternate
Telephone Number
Mobile
Student #1 Name*
Date of Birth*

MonthDayYear
Date
Student #1 Class Choices - Each Class Meets Once Per Week. This schedule is subject to change depending on the participation. We could add additional dates and times or change as needed. Click on box below to select classes. There is a guide below this section if you can't read the classes on your phone. *
*******SOME PHONES WILL NOT ROTATE SO YOU MAY NOT BE ABLE TO TELL WHAT CLASS TO SELECT. THERE IS A FULL LIST OF CLASSES BELOW THE BILLING ADDRESS ON THIS FORM WITH A 4 CHARACTER CODE..THE 1ST 3 LETTERS IS THE DAY OF THE WEEK FOLLOWED BY A 1 DIGIT NUMBER. THIS SHOULD HELP YOU SELECT THE CLASS WHEN YOUR PHONE DOESNT' DISPLAY CORRECTLY ***GEMS Prep - This Class is to prepare for competitions in the next year or two. GEMS Prep will be required to participate in the parade****
Student #2 Name
Date of Birth

MonthDayYear
Date
Student #2 Class Choices - Each Class Meets Once Per Week. This schedule is subject to change depending on the participation. We could add additional dates and times or change as needed.
*******SOME PHONES WILL NOT ROTATE SO YOU MAY NOT BE ABLE TO TELL WHAT CLASS TO SELECT. THERE IS A FULL LIST OF CLASSES BELOW THE BILLING ADDRESS ON THIS FORM WITH A 4 CHARACTER CODE..THE 1ST 3 LETTERS IS THE DAY OF THE WEEK FOLLOWED BY A 1 DIGIT NUMBER. THIS SHOULD HELP YOU SELECT THE CLASS WHEN YOUR PHONE DOESNT' DISPLAY CORRECTLY ***GEMS Prep - This Class is to prepare for competitions in the next year or two. GEMS Prep will be required to participate in the parade****
Student #3 Name
Date of Birth

MonthDayYear
Date
Student #3 Class Choices - Each Class Meets Once Per Week. This schedule is subject to change depending on the participation. We could add additional dates and times or change as needed.
If enrolling more that 3 students, please contact the Studio at 828 633-1100 or 828 273-7793. *******SOME PHONES WILL NOT ROTATE SO YOU MAY NOT BE ABLE TO TELL WHAT CLASS TO SELECT. THERE IS A FULL LIST OF CLASSES BELOW THE BILLING ADDRESS ON THIS FORM WITH A 4 CHARACTER CODE..THE 1ST 3 LETTERS IS THE DAY OF THE WEEK FOLLOWED BY A 1 DIGIT NUMBER. THIS SHOULD HELP YOU SELECT THE CLASS WHEN YOUR PHONE DOESNT' DISPLAY CORRECTLY ***GEMS Prep - This Class is to prepare for competitions in the next year or two. GEMS Prep will be required to participate in the parade****
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Comments
Monday Beginner Acro/Tumbling Ages 5 – 8       4:45pm - 5:30pm

Monday Beginner Acro/Tumbling Ages 8 – 12    5:30pm - 6:15pm

Monday Intermediate Acro/Tumbling Ages 5 - 9      6:15pm – 7pm

Monday Intermediate Acro/Tumbling Ages 10 - 14+    7:00pm - 7:45pm

Monday Beginner Tap/Jazz Ages 8 - 12      5:00pm - 5:45pm

Monday Beginner Tap/Jazz Ages 5 - 8     5:45pm - 6:30pm

Monday Pom Dance Ages 5 - 12     6:30pm - 7:15pm

Monday Beginner Ballet/Tap/Jazz Ages 8 - 13   7:15pm - 8:00pm

Tuesday Preschool Ballet/Tap Age 3 - 4      4:45pm - 5:30pm

Wednesday Preschool Tumbling/Ballet Ages 3 - 4    4:45pm - 5:15pm

Wednesday Ballet/Tap Ages 5 – 8    5:15pm - 6:00pm

Wednesday Hip Hop Ages 5 – 8    4:30pm - 5:15pm

Wednesday Hip Hop Ages 9 - 13+    5:15pm - 6:00pm
Please click here to download policy located in "Forms" section of homepage

Legal Release and Policy Acceptance

I/we understand the Studio Policies

I/we understand my billing obligations

I/we understand the risks related to dance

I/we understand my responsibilities for my property

I/we understand the dress code

I/we give media use rights permission

I/we understand the attendance policy

By signing below, I have read and accept the Policy of Celia's Dance Academy.
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All classes meet once per week. Students are invited to take more than 1 class and/or add siblings for discounts. Discounts are reflected in the rates below. There will be a total of 37 lessons (week in August is free with registration) for each class from August through June 4th. This equates to 9 months of tuition (September-1st week in June '26) due on the first day of each month. Breaks and Holidays are taken into consideration to calculate the 9 months (36 weeks)

Examples for Selection of classes below:

REMINDER - EACH CLASS MEETS 1 TIME PER WEEK. EITHER 4 OR 5 TIMES PER MONTH DEPENDING ON THE MONTH. HOLIDAYS ARE CONSIDERED IN CALCULATING THE WEEKS IN CLASS. TUITION DUE EACH MONTH IS THE SAME REGARDLESS OF NUMBER OF WEEKS IN CLASS. THE TOTAL WEEKS IN CLASS IS 36 WHICH EQUALS 9 MONTHS OF TUITION.

1 Child, 1 Class = "4 Sessions per month" $60 per month

1 Child, 3 Different Classes = "12 Sessions per month" $155 per month

2 Children, 1 Class each = "8 Sessions per month" $110 per month

2 Children, 2 Classes each = "16 Sessions per month" $195 per month

Select the total number of classes taken by all students to calculate monthly tuition

You must select one box below:

IF YOU START IN SEPTEMBER IT WILL BE PRORATED AND CREDIT WILL APPLY FOR OCTOBER TUITION!
My Products*
prevnext( X )
1 CLASS PER MONTH4 Sessions
$60.00



2 CLASSES PER MONTH8 Sessions
$110.00



3 CLASSES PER MONTH12 Sessions
$155.00



4 CLASSES PER MONTH16 Sessions
$195.00



5 CLASSES PER MONTH20 Sessions
$230.00



6 CLASSES PER MONTH24 sessions
$260.00



REGISTRATION FEE
$30.00 Quantity



Total

$0.00

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2025/2026 Fall Registration

IF YOU START IN SEPTEMBER IT WILL BE PRORATED AND CREDIT WILL APPLY FOR OCTOBER TUITION! EACH CLASS MEETS ONE DAY EACH WEEK. TUITION IS FOR THE MONTH.