AMY’S ACADEMY OF DANCE ARTS

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

AMY’S ACADEMY OF DANCE ARTS – STUDIO2

APPLICATION 2020-2021 LUMBERTON
2100 N. Walnut Street
Lumberton, NC 28358 (910) 734-4487
Mailing Address: Amy Watson 61 Edmund Street Chadbourn, N. C. 28431
Email – keynap1@gmail.com
www.amysacademyofdancearts.com
*Early Bird Registration June 1 -- June 30 and Receive $10 off Registration --
MUST Include September Fees and Registration Fee and Postmarked by June 30
Registration fee is $35 for one dancer and $50 for 2 dancers ($10 discount for early bird)
PLEASE PROVIDE EMAIL ADDRESS YOU CHECK DAILY -- SCHEDULES WILL BE EMAILED

Email *

STUDENTS NAME *

AGE: *

RISING GRADE: *

BIRTHDATE: *

YYYY

PARENT'S NAME: *

HOME PHONE: *

WORK PHONE: *

MOBILE PHONE: *

ADDRESS: *

CHECK CLASSES DESIRED (All 30 minute classes) *

TAP

JAZZ

BALLET

LYRICAL

HIP HOP

CLOGGING

MUSICAL THEATRE (Competition dancers only)

TAP FOR 2 YEAR OLDS

BASIC TUMBLING

TECHNIQUE ($20 -- Competition dancers)

Required

DANCE EXPERIENCE *

YES

Required

NUMBER OF YEARS DANCE EXPERIENCE? *

PLEASE LIST ANY DAY OR TIME THAT MAY BE A CONFLICT:

T-SHIRT SIZE (INCLUDED W/REGISTRATION FEE) *

YXS

YXL

DANCE MOM T-SHIRTS AND SIZES (YXS - AXL $12 AND A2X-A3X $15)

DANCE DAD (YXS - AXL $12 AND 2X-3X $15)

Clear selection

DANCE GRANDMA (YXS - AXL $12 AND A2X-A3X $15)

Clear selection

I UNDERSTAND THAT MONTHLY TUITION IS SEPTEMBER THRU MAY -- CLASSES WILL BEGIN IN AUGUST OR SEPTEMBER AT STUDIO 2 *

YES

Required

I UNDERSTAND THAT CLASSES ARE 30 MINUTES -- $28 PER MONTH PER CLASS *

YES

DISCOUNTS: 2 Classes -- minus $2 ** 3 classes -- minus $3 ** 4 classes -- minus $4 -- 5 classes -- minus $5 *

I UNDERSTAND

I UNDERSTAND THAT Tuition is due on the FIRST lesson of each month and a $10 LATE FEE will be applied to your account if not paid by the 10th of every month. *

YES

I understand that If my account is 30 DAYS past due, my child will no longer be able to participate in class. *

Yes

I understand that REGISTRATION FEES and September Fees are Non-Refundable! *

Yes

We will be switching over to a professional studio software program for payments to be made during the dance year but for now please mail checks to address on app or Venmo to Amy-Watson-123.

REGISTRATION PAYMENT AMOUNT

SEPTEMBER PAYMENT AMOUNT

EXTRA SHIRTS AMOUNT

TOTAL PAID AMOUNT

Dear Parents and Students, Please sign and date the bottom of this page after you have read and fully understand all of the information listed on this application. This application must be signed and dated before your child will be allowed to participate in any activities at Amy’s Academy of Dance Arts. Thank you!

TUITION IS DUE MONTHLY FROM SEPTEMBER THROUGH MAY. CLASSES ARE NOT HELD AFTER THE RECITAL, WHICH IS USUALLY SCHEDULED MID MAY. PLEASE INITIAL: *

TUITION REMAINS THE SAME EACH MONTH, REGARDLESS OF WHETHER THE MONTH HAS 5 OR 3 CLASSES! TUITION IS DUE ON THE FIRST DANCE CLASS OF EACH MONTH. PLEASE INITIAL: *

THERE IS A $10.00 LATE FEE FOR TUITION PAID AFTER THE 10TH OF THE MONTH. PARENTS ARE EXPECTED TO FIGURE THESE LATE FEES INTO THEIR CHECK IF PAYING AFTER THE 10TH OF THE MONTH. LATE FEES WILL ACCUMULATE, AND ROLL OVER MONTHLY. PLEASE INITIAL *

ALL ACCOUNTS MUST BE PAID IN FULL IN ORDER FOR THE STUDENT TO PARTICIPATE IN EXTRA DANCE EXPENSES (dance recitals, dance pictures, competitions, costume orders, etc.) STUDENTS WILL NOT BE ALLOWED TO REMAIN IN CLASS IF TUITION IS NOT PAID AFTER 30 DAYS OR SPECIAL ARRANGEMENTS HAVE NOT BEEN MADE. PLEASE INITIAL *

DANCE FEES ARE NON-REFUNDABLE. EVEN IN A PANDEMIC FEES ARE NON-REFUNDABLE, THEY WILL BE CREDITED ACCORDINGLY. PLEASE INITIAL: *

ALL RETURNED CHECKS WILL BE CHARGED A $25.00 HANDLING FEE. PLEASE INITIAL: *

A NON-REFUNDABLE COSTUME DEPOSIT OF $25 PER CLASS WILL BE DUE SEPTEMBER 15, 2ND DEPOSIT BY OCTOBER 15 AND COSTUME BALANCE MUST BE PAID IN FULL BY NOVEMBER 15! COSTUME FEES ARE NON-REFUNDABLE. PLEASE INITIAL *

AMY’S ACADEMY OF DANCE ARTS ~ LIABILITY RELEASE FORM 2020-2021. In exchange for my child’s voluntary participation with Amy’s Academy of Dance Arts, I agree to the following: *

Yes

I recognize that there are certain inherent rights and risk of injury associated with the activity of dance. I assume full responsibility for any personal injury to my child. I further release and discharge Amy’s Academy of Dance Arts, its employees, instructors, and all affiliated entities for any injury, loss or damages arising out of participation in class and all other activities associated with Amy’s Academy of Dance Arts. *

Yes

I have read and understand all “Studio Info” in this sign up form and will uphold all the information given. *

Yes

I have read and understand this agreement and I understand that I am voluntarily releasing certain legal rights. *

Yes

I give Amy’s Academy of Dance Arts permission to use my child’s picture in or on any form of advertisement for Amy’s Academy of Dance Arts. *

Yes

Your electronic signature below as the Parent or Guardian of the above dancer is your Liability Release Agreement for the 2020-2021 dance season. Please type your name below. *

This agreement was made on: *

YYYY

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms