Form

Magical Movements School of Dance Registration Form
Please complete this form for all programs.

You may submit electronically or return with payment to:

33 Halstead Avenue, Harrison, NY 10528 / MagicalMovements@aol.com

**Please read all studio policies and sign both pages to complete registration**
Student Name *

First Name Last Name
Birth Date *

/ Month / Day Year
Age *
Sex *
Parent/ Guardian's Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail *
Home Number

- Area Code Phone Number
Mobile Number *

- Area Code Phone Number
Work Number

- Area Code Phone Number
Emergency Number *

- Area Code Phone Number
Person(s) authorized to pick up child *
Session: *

Fall/Winter Winter/Spring Summer Mini-Camp
New or Returning Student/Camper? *

New ($25 Non-refundable Registration Fee) Returning
How did you hear of us?

Ad Friend/Family Internet
CLASSES

Please list top four class choices below for Fall/Winter, Winter/Spring, or Summer Classes.
FIRST CHOICE *
Class Choice
*
Day & Time
Tuition
Discount
SECOND CHOICE
Class Choice
Day & Time
Tuition
Discount
THIRD CHOICE
Class Choice
Day & Time
Tuition
Discount
FOURTH CHOICE
Class Choice
Day & Time
Tuition
Discount
MINI-CAMPS / WORKSHOPS / INTENSIVES
Name / Theme(s)
Week # *
Total # of Weeks *
Day(s)

Monday Tuesday Wednesday Thursday Friday
Start Date *

- Month - Day Year
End Date *

- Month - Day Year
Tuition
Please note that registration is NOT complete until payment is received. You may pay via credit card in our online store or over the phone, mail in this form with a check, or pay with Visa/MasterCard, debit card, check, or cash in person.
Form of Payment: *

Cash Check Credit Card Gift Certificate Class Credit
Parent/Guardian Signature *

Clear
Date *

- Month - Day Year
For Office Use Only:
Reg. Date
Reg. Fee
Tuition Total
Paid
You will be able to print full form on next page.

Magical Movements School of Dance Studio Policies

Please read and check off ALL boxes to accept these policies.
Dress Code *

Each class has a specific dress code, which is listed on our website www.magicalmovements.net under Programs.
Class Arrival/ Dismissal *

Students must arrive on time for scheduled class. Students should go to the rest room before class begins. Parents/caregivers should arrive by the end of class. Students will only be released to person(s) authorized on registration forms.
Absence & Makeup Classes *

Please notify the studio if your child is going to be absent from class. Students may attend up to three makeup classes for notified absences. Makeup classes are not available during Bring A Buddy Week, Observation Week, Dance Concert Rehearsal Week. Please e-mail or call the studio to arrange makeup classes. There are no refunds for holidays/closings/absences. With the exception of notified absence on the last class of the session, makeup classes cannot carry over to the following session.
In-Studio Observation/ Photography/ Videography *

All classes are drop-off, with the exception of Mommy & Me. Family and caretakers may observe class on closed circuit television in the waiting room. Taking photographs and videotaping are ONLY permitted during Observation Week. Magical Movements School of Dance may use photos/videos of students on our website, Facebook page, Instagram account, YouTube, brochures, flyers, postcards, windows, and advertisements.
Health & Well-Being/ Injury/ Illness *

I understand that dance, yoga, and fitness classes involve physical movement and exertion, and represent that the student named on the reverse side is in good physical health and is capable of performing the dances and exercises required for participation in the classes. I waive all liability against Magical Movements School of Dance and its staff for any injury or loss of property sustained while participating in any classes, on and off-site activities, and events of Magical Movements School of Dance. In the event that a parent/guardian or the emergency contact is not available, I give permission to the staff of Magical Movements School of Dance to obtain emergency medical treatment for any illness or injury that may occur while the student is attending the school.
Dance Concert Participation *

Students are invited to participate in the annual dance concert in June. The dance concert is divided into two shows (Show I: Younger Children / Show II: Older Children). Participation is encouraged, but not a requirement. Costumes are purchased for the event. Fees are announced in mid-late February, and due within two weeks. Costumes will not be released to students with tuition balances. Tickets ($20-23, plus service fee) are sold to cover the many costs of the dress rehearsal and dance concert (venue rental, liability insurance, auditorium manager, technical director, custodial overtime fees, lighting design & operation, sound operation, program design & production, stage crew, house management, backstage supervision). Students who participate must attend the dress rehearsal, and are asked to wear specific hair-do's, tights, and shoes.
Refund Policy *

Tuition refunds are available prior to the first day of classes. Once the session begins, all requests for class withdrawal must be submitted in writing. Class credit is given to the student, and cannot be transferred to anyone else. Class credit will go into effect from the date in which notice is received, until the end of the paid classes or session. There are no class refunds for vacation, religious observance, or illness. The $25 registration fee for NEW students/campers is non-refundable.
Parent/Guardian Signature *

Clear
Print Full Name *

First Name Last Name
Date *

- Month - Day Year
Should be Empty:

Magical Movements School of Dance Registration Form