Glen Lake Academy of Dance 2025-2026 Registration Form

Glen Lake Academy of Dance

2025-2026 Registration
Student Name *
Students Birthdate*

MonthDayYear
Address*
Parent/Guardian Name*
Parent/Guardian Cell Phone*
Student Cell Phone
Parent/Guardian Email*
Student Email
I am registering for the following class(es):

Unlimited Classes - $285.00/Monthly
Individual Classes - Paid three times annually (Fall/Winter/Spring)

Annual Registration fee - $20.00 (Fee waived for dance team members)Monday 4:45-5:45: Jazz, Grade 7-12 - $210.00Monday 5:45-6:45: Ballet, Grade 7-12 - $210.00Monday 6:45-7:45: Production All Teams - $210.00Monday 7:45-8:45: Emerald’s Team - $210.00Tuesday 4:30-5:00: Tap, Grade 2-3 - $115.00Tuesday 5:00-6:00: Ballet/Jazz, Grade 2-3 - $210.00Tuesday 6:00-7:00: Ruby’s Team - $210.00Tuesday 7:00-7:30: Sr. Tap - $115.00Tuesday 7:30-8:30: Diamond's Team - $210.00Wednesday 4:30-5:15: Ballet/Tap, Grade K-1 - $180.00Wednesday 5:15-5:45: Jazz, Grades K-1 - $115.00Wednesday 5:45-6:30: Ballet/Tap, Preschool - $180.00Wednesday 6:30-7:30: Jazz/Hip-Hop, Grades 4-6 - $210.00Wednesday 7:30-8:30: Emerald’s Team - $210.00Wednesday 8:30-9:00: Jr. Tap, Grade 6-9 - $115.00Thursday 4:00-5:00: Boys, All Ages - $210.00Thursday 5:00-5:30: Tap, Grade 4-7 - $115.00Thursday 5:30-6:30: Ballet, Grade 4-7 - $210.00Thursday 6:30-7:30: Sapphire’s Team - $210.00Thursday 7:30-8:30: Lyrical, Grade 8-12 - $210.00Friday 5:00-6:00: Pearl's Team - $210.00Friday 6:00-6:30: Pearl's Tap - $115.00Saturday 9:00-10:00: Invitation Group 1 - $210.00Saturday 10:00-11:00: Invitation Group 2 - $210.00
Unlimited Class options

Annual Registration fee - $20.00 (Fee waived for dance team members)Monday 4:45-5:45: Jazz, Grade 7-12 - $0.00 (included in unlimited class fee)Monday 5:45-6:45: Ballet, Grade 7-12 - $0.00 (included in unlimited class fee)Monday 6:45-7:45: Production All Teams - $0.00 (included in unlimited class fee)Monday 7:45-8:45: Emerald’s Team - $0.00 (included in unlimited class fee)Tuesday 4:30-5:00: Tap, Grade 2-3 - $0.00 (included in unlimited class fee)Tuesday 5:00-6:00: Ballet/Jazz, Grade 2-3 - $0.00 (included in unlimited class fee)Tuesday 6:00-7:00: Ruby's Team - $0.00 (included in unlimited class fee)Tuesday 7:00-7:30: Sr. Tap - $0.00 (included in unlimited class fee)Tuesday 7:30-8:30: Diamond's Team - $0.00 (included in unlimited class fee)Wednesday 4:30-5:15: Ballet/Tap, Grade K-1 - $0.00 (included in unlimited class fee)Wednesday 5:15-5:45: Jazz, Grades K-1 - $0.00 (included in unlimited class fee)Wednesday 5:45-6:30: Ballet/Tap, Preschool - $0.00 (included in unlimited class fee)Wednesday 6:30-7:30: Jazz/Hip-Hop, Grades 4-6 - $0.00 (included in unlimited class fee)Wednesday 7:30-8:30: Emerald’s Team - $0.00 (included in unlimited class fee)Wednesday 8:30-9:00: Jr. Tap, Grade 6-9 - $0.00 (included in unlimited class fee)Thursday 4:00-5:00: Boys, All Ages - $0.00 (included in unlimited class fee)Thursday 5:00-5:30: Tap, Grade 4-7 - $0.00 (included in unlimited class fee)Thursday 5:30-6:30: Ballet, Grade 4-7 - $0.00 (included in unlimited class fee)Thursday 6:30-7:30: Sapphire’s Team - $0.00 (included in unlimited class fee)Thursday 7:30-8:30: Lyrical, Grade 8-12 - $0.00 (included in unlimited class fee)Friday 5:00-6:00: Pearl's Team - $0.00 (included in unlimited class fee)Friday 6:00-6:30: Pearl's Tap - $0.00 (included in unlimited class fee)Saturday 9:00-10:00: Invitation Group 1 - $0.00 (included in unlimited class fee)Saturday 10:00-11:00: Invitation Group 2 - $0.00 (included in unlimited class fee)
Registration Total
Registration Total
Please Confirm *

I understand and acknowledge that participation in the activities taught through Glen Lake Academy of Dance (GLAD) can involve inherent risks of injury to my child. I agree to indemnify GLAD and all teachers, teacher assistants & substitutes for any costs or expenses arising out of my child’s participation in the activities. This includes the cost of any medical care given to my child or any expenses or fees incurred in any lawsuit arising as a result of any damage or injuries caused by my child in the course of his or her participation in the activity. Although the skills taught at GLAD are supervised and well practiced, if injury does occur the guardians of GLAD participants are responsible for any and all medical bills.
Tuition Due:

Individual Classes - Paid Three Times Annually (Fall/Winter/Spring)

Unlimited Classes - Paid Monthly (for studentes taking more than 4 classes)
Should be Empty:

Glen Lake Academy of Dance

Tuition Due: