Students Name:
______________________________________________________(Print
Legibly)
Parents Name: _________________________________________
E - Mail Address: _______________________________________
Phone: ______________________ Emergency #:
_____________________
Cell or Pager # ______________________
Address: ___________________________________City:
_________________
Zip: _________
Child's Age: ______ DOB ______ Years At Spotlight
______
PLEASE FILL IN DESIRED CLASSES:
J/T/B - 3&4yrs. ______ Day
___________
Time
____________
Teacher _____________
J/T/B I - 5&6yrs. ______ Day
__________
Time
____________
Teacher _____________
Ballet ______ Level ________
Day
__________Time
_________
Teacher _____________
Beginner Ballet 10+ _____ Day
________
Time
_________
Teacher ____________
Jazz _____ Level _______
Day__________
Time
____________
Teacher _____________
Teen Jazz _________
Day__________
Time
_______
Teacher ____________
Tap _____ Level _____ Day
__________
Time
____________
Teacher _____________
Hip-Hop ____Level ___ Day __________
Time
____________
Teacher _____________
Lyrical ______Level _____Day _______ Time
____________
Teacher _____________
Pointe ____ Level _____Day _______ Time
____________
Teacher _____________
Leaps & Turns ____ Day ______ Time
____________
Cheer dance _________ Level
_________
Day_______ Time ____________
Cheerdance Company_________ Level _________ Day
_________
Time __________
Hip Hop Company_____ Level _________
Day_______
Time ____________
Jazz Company ________Level
_________
Day_______ Time ____________
Gymnastics _____ 3&4yrs
____
5&6 yrs ____ Level _______ Day ______ Time _________
Teacher _____________
Other Classes _____________________________
Day ____________ Time ______________ Teacher
_____________
Number of Classes Per Week _________
Monthly
Tuition Rate: _________
PLEASE NOTE:
Tuition is based on 44 weeks of training and is divided
into ten equal payments. Tuition is paid in advance and due BEFORE the
1st of each month, i.e. the last week of previous month. A late fee of
$10.00 is due after the 1st of each month & will be deducted from
the
students prepay account which must then be brought up to date before
the
next months tuition is due. There are no refunds or prorated credits
for
missed classes, no exceptions. Missed classes must be made-up within
child’s
level within 30 days, after which time the missed classes will be non
redeemable.
There is a $20.00 service fee for all returned checks. Dropped students
may re-enter a class only after fully re-registering, provided there is
still space available.Spotlight is not liable for any injury sustained
during classes or at the school nor is Spotlight responsible for any
lost
or stolen items.
Parents Signature:
_______________________________
Date: _________
For Office Use Only:
Registration $______ Tuition $______
Pre-Pay
$______ Check # ______ Cash ______ CC_____
Rolls:
_____Registrar: _____ Mail Manager:
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Page 2
Spotlight Dance Center Requires a 4 Week Notice Prior to Withdrawing from any Class
- A “Lasts Months Prepaid Tuition” in the amount equal to the
value of your child’s monthly tuition
which translated into $______________ is required when
registering your child at Spotlight Dance
Center. Total due upon registration includes: Registration
fee amount; First & last months tuition.
- If you have an outstanding balance due on your account, any
monies due, such as late fees, will be
deducted from your “Lasts Months Prepaid Tuition”
account.
It will be your responsibility to pay
any difference should one occur.
- When a 4 week drop notice is received in writing by
Spotlight
Dance Center and your monthly tuition
account is currently showing a zero balance, the “Lasts
Months Prepaid Tuition” will be applied
towards your child’s final our weeks attending. Spotlight
Dance Center will only do so provided the
proper advanced 4 weeks notice has been given and there
is no balance due on your account.
- If your child is dropping and you do not provide us with a 4
week prior notice drop form, the “Lasts
Months Tuition Deposit ” amount will NOT be
reimbursed;
No Exceptions.
- If any student misses class for 4 consecutive weeks, and no
tuition has been paid in regards to those
classes, Spotlight Dance Center will regard this as a
drop without notice and will apply the “Lasts
Months Prepaid Tuition” amount stated above to the classes
in which your child has occupied a
space. That student is then officially dropped from
all classes.
- Once dropped from classes, one must completely re-register
to
re-enter classes, provided there is still
space available. (This means if you are
re-registering,
you must now pay the registration fee, the lasts
months Prepaid tuition amount and the tuition for
that month.)
I have read, understand and agree to the terms listed and stated above.
________________________________________
_____________________________
Parent
Signature
Date
Child’s Name
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Page 3
Studio Codes, Rules & Regulations:
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Page 4
TUITION INFORMATION FOR MISSES CLASSES