EMD Registration & Enrollment Form 2026-2027

EMD Registration & Enrollment Form

Provide your details, select your program/class, and complete consent and signature to enroll your dancer.
Parent / Guardian Information
Parent / Guardian Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Dancer Information
Dancer Full Name

First NameLast Name
Dancer 2 Full Name

First NameLast Name
Date of Birth

MonthDayYear
Dancer 2 Date of Birth

MonthDayYear
Age
Dancer 2 Age
Dancer Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
New or Returning Dancer
Dance Experience Level
Medical, Allergy, or Injury Information Relevant to Participation
Program / Enrollment Selection
Creative Movement | Ages 2–3
EMD Academy | Ages 4–6
Foundation | Ages 7–12
Foundation | Ages 13+
DANCER PICK-UP POLICY
ALL DANCERS MUST BE PICKED UP ON TIME.

Parents/guardians are responsible for making arrangements for their dancer to be picked up promptly at the scheduled end of classes, rehearsals, camps, and other EMD activities.

Eloquent Movement Dance LLC will not be responsible for dancers who remain at the studio after the scheduled end of an activity.

By submitting this form, I acknowledge that I have read, understand, and agree to the financial obligations, payment policies, participation requirements, and dancer pick-up policy established by Eloquent Movement Dance LLC.
Emergency Contact
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
FINANCIAL OBLIGATIONS & PAYMENT SCHEDULE
ALL FEES ARE NON-REFUNDABLE.

Eloquent Movement Dance LLC accepts the following forms of payment:

Cash
Debit Card ( Zelle or Bank Transfer)
Credit Card ( same as Debit Card )

At this time ALL PAYMENTS ARE ACCEPTED IN THE STUDIO ONLY.

All payments must be submitted in the required amount by the designated due date.
TUITION & REGISTRATION

Creative Movement
$75 per month — 1 class per week + $45 annually
$105 per month — 2 classes per week + $45 annually

EMD Academy
$125 per month + $45 annually

EMD Foundations
$150 per month + $45 annually

ALL PROGRAMS there is a One-time Annual Registration Fee of
$45 annually

Late Payment Policy
Tuition payments are due on the 1st of each month. The 1st through the 5th are the grace period. Payments received after the 5th will be considered late and will be subject to a $30 late fee beginning on the 6th.

Dancers with outstanding tuition or fees will not be permitted to participate in classes, rehearsals, or other EMD activities until all outstanding balances have been paid in full.
Concert & Performance Obligations
Annual Recital

All EMD Programs will participate in the annual recital part of the EMD program experience.

Recital Tickets:
Recital tickets will be available for family members, friends, and guests who wish to attend.

Ticket Price:
$35 per ticket (TBD).

Additional recital details:

Including the recital date, location, ticket availability, and ticket purchase procedures, will be communicated to families by Eloquent Movement Dance LLC as details are finalized.
Photo and video release consent
Financial Obligation Agreement
I understand and accept the financial requirements established by Eloquent Movement Dance LLC.

By submitting this form, I acknowledge and agree to the following:

I am responsible for paying all tuition, registration fees, concert fees, ticket obligations, merchandise fees, and any other required fees by the established deadlines.

I understand that tuition payments are due on the 1st of each month, the 1st through the 5th are the grace period, and payments received after the 5th are considered late and subject to a $30 late fee beginning on the 6th.

I understand that a dancer with an outstanding balance may not participate in classes, rehearsals, or other EMD activities until all outstanding fees have been paid in full.

I understand that all fees and payments are non-refundable.

I understand that Eloquent Movement Dance LLC accepts cash, debit card, and credit card payments in the studio only.

I understand that failure to satisfy all financial obligations may result in the dancer being excluded from the annual concert or other designated EMD performances and activities.

I understand that all dancers participating in the annual concert are required to meet the established ticket-selling requirement.
I agree to the financial obligations, payment policies, participation requirements, and dancer pick-up policy.
Parent / Guardian electronic signature
Should be Empty:

EMD Registration & Enrollment Form

Parent / Guardian Information

Dancer Information

Program / Enrollment Selection

DANCER PICK-UP POLICY

Emergency Contact

FINANCIAL OBLIGATIONS & PAYMENT SCHEDULE

Concert & Performance Obligations

Financial Obligation Agreement