Thank you for your interest in Palmetto Dance Center!

Size: px
Start display at page:

Download "Thank you for your interest in Palmetto Dance Center!"

Transcription

1 Palmetto Dance Center of Elgin 2548 Main Street Suite G Elgin, SC Thank you for your interest in Palmetto Dance Center! Please look over the enclosed information and feel free to phone with your questions. Our studio number is If we are away from the phone, please leave your name and number and I will return your call within 24 hours. I look forward to having you in class! Britton Palmetto Dance Center of Elgin 2548 Main Street Suite G Elgin, SC Palmetto Dance Fee Information Registration fee (once per dance year): $15 Monthly fees All Dance Classes are $40 monthly - $5 discount for automatic payments with credit or debit card. 2nd child/2nd class and above = $30 (Payment must be made even if class is missed.) If a student becomes more than 1 month behind on payments, they will not be allowed to continue classes until account is brought up to date. A $60 costume fee is due by October 30th A $30 recital fee is due by April 30th. Methods of Payment There are several ways to pay for your dance classes: 1. Pay with check/cash/or credit card for the semester. A 5% discount will apply. Fall Semester is 5 months, Winter/spring semester is 5 months. 2. Pay with check/cash/or credit card for the entire Year. A 10% discount will apply. Our dance year is 10 months from August through May. 3. Pay monthly with credit card or debit card automatic payment. Receive a $5 discount per month. 4. Pay Monthly by CASH or check. Payment must be made by the 10th of every month. Payments made after the 10th are subject to a $10 late fee

2 Studio Policies This form must be signed by parent or legal Guardian prior to student s first class. Your signature on the registration form indicates you have read, understood, and agree to comply with these policies. Student s Name: Release of Liability I will not hold any member of Palmetto Dance Center responsible for any accidents or injuries occurring to (name of child or self if over 18) during practice or traveling to & from practice, competitions or performances. Studio Policies (please check each box to indicate you have read, understand and agree to comply with our policies.) This registrations form also serves as a press release. Your signature indicates you are in agreement with our use of you/your child s image in advertising and marketing. We reserve the right to use video and/or photos of any students to promote Palmetto Dance Center. Tuition is charged on a monthly basis and is determined by the number of classes a student takes per week and how many students from the same family are in classes. Tuition payments are not refundable and are not discounted for missed classes, holidays or classes cancelled due to inclement weather. Similarly, there are no additional tuition charges for 5-week months. If you are absent for an extended period of time and intend to return to class, monthly tuition payments will be due as usual. Tuition payments that are late will be charged a $10 late fee. Returned checks will be charged a $10 returned check fee. Students are obligated to pay full monthly tuition regardless of attendance. If at anytime I become late with payment my child s position in class is in jeopardy. I understand that there are no refunds for unused tuition or recital, costume/shoe deposits. The dance year begins in August and ends with the Recital at the end of May. Tuition payments are collected August May. Tuition can be paid by monthly check or Auto payment drafted from your debit or credit card. You can elect to pay for a semester or an entire year. If you sign up for Auto Payment, or pay for a semester or pay for the entire year, you will receive a discount. There is a Costume fee of $60 due by October 30th. There is no refund for costume deposits I understand that t-shirts and sweatshirts will be available and I am not obligated to purchase t-shirt/sweatshirts. Students with delinquent accounts will not be allowed to participate in the Recital. Every student participating in the recital must pay a $30 recital fee. A student may participate in advertisement sales for recital in lieu of paying a $30 recital fee. You will receive 2 complimentary tickets to the recital. I understand that videos of the recital will be for sale and I am not obligated to purchase a video but can order one. Prospective students are invited to take one class on a trial basis for which they will not be charged if they decide not to continue to take classes at the studio. If the student decides to enroll in a class, the trial session will count as the first class. Photos will be made in the spring. I am not obligated to purchase any photos, but am asked to be present for group photo. If you need to speak with a teacher, please leave a number where you can be reached during the day, and the teacher will call you as soon as possible. Time taken between classes delays the start of the next class and affects every class for the remainder of the day. Palmetto Dance Center reserves the right to terminate the dance instruction of any student at any time, with or without cause. Palmetto Dance Center does not give refunds. Please check the Calendar of events for scheduled studio closings. The Studio generally follows the schedule for this district. We will not close for teacher workdays. The studio will close during inclement weather. If schools are closed for bad weather, please check our answering machine and website by noon of that day to see if classes will be held. If classes must be canceled, this is for your protection. Palmetto Dance Center is not and shall not be responsible for injuries received by any student while attending class or to any person while on the premises of Palmetto Dance Center. Palmetto Dance Center shall be responsible for the well being of the students only while they are participating in their scheduled classes. Parents of small children are required to be at the premises when their child s class ends for the purposes of picking up their child. Palmetto Dance Center specifically is not responsible for dance students who choose not to attend class after being dropped off at Palmetto Dance Center, or who choose to leave the studio premises during or following their class. Palmetto Dance Center is not responsible for loss or theft or articles brought onto the studio premises. Classroom Etiquette: Each student should bring appropriate shoes to class. Please write name inside of dance shoes. Please carry a dance bag with your name on it for your dance shoes. Dance Shoes are worn only inside. Wear appropriate shoes for your class. Encourage your child to wear street shoes to and from class. Please see that your child is dressed in appropriate dancewear. NO JEANS ALLOWED! Pull hair away from face. No Food or Chewing gum allowed. If your child is in class for more than 45 minutes, please bring a water bottle. Come prepared to sweat. Good attendance is imperative as absences and tardiness can hold back an entire class. Classes progress very quickly and when a student misses several classes it is very difficult for her to stay at the same level as her classmates. If 2 classes in a row are missed for any reason we request that you schedule a private session with your instructor to get caught up. Privates are $25 for 30 minutes. $50 per hour. Students are asked to be ready with their dance shoes on when the teacher asks them to enter the classroom. Disruptive students will be asked to leave the classroom. Poor behavior from a student or parent can result in dismissal from the class and the studio. Parents, Please see that young children go to the restroom BEFORE coming to class. Palmetto Dance Center 2854 Main Street Suite G Elgin, SC SIGNATURE OF PARENT OF GUARDIAN DATE

3 Registration Form Today s Date: Student ID #: (filled out by office) Student Last Name: Student First Name: Student lives w/ both Parents Student lives w/ single Parent Student lives w/ Mother & Step Father Student lives w/ Father & Step Mother Other: SEX: F Birth date: M Guardian Name(s): Home Phone #: Work/Emergency Phone #: Cell Phone #: Address City, State Zip Code Address: Date Starting Lessons Registration Fee Paid Draft CC MCK SEM YR Class(1) Class(2) Class(3) Class(4) Where You Heard About Us: (for office use) List Person Responsible for tuition Payments & Phone if different from above: Medical Conditions: Palmetto Dance Center 2854 Main Street Suite G Elgin, SC 29045

4 AUTOMATIC PAYMENT CONSENT FORM Student ID #: Student s Last Name: Student s First Name(s): Guardian Name: Phone Number: I hereby authorize Palmetto Dance Center to charge my account the amount of $ on the first Friday of each month starting and ending. I will give the studio office one month s written notice by filling out a student withdrawal from to discontinue these charges. SIGNATURE Method of Payment Debit Visa Mastercard Discover American Express CARD NUMBER CARD HOLDER S NAME - EXPIRATION DATE CVVC # ON BACK OF CARD Zip Code Where Credit Card Bill is Sent: Only regular occurring monthly fees may be paid by monthly auto-debit or credit card. Incidental fees such as registration fee, costume deposits, recital fees, studio apparel, etc. should be paid separately. We will accept credit/debit cards for these fees, however we must write a separate receipt. Palmetto Dance Center 2854 Main Street Suite G Elgin, SC 29045

5 Palmetto Dance Center Day Time Class 2008 Fall Schedule Monday 3:45-4:30 Jr Jazz Team 4:30-5:15 Jr Clogging Team 5:15-6:00 Preschool Clogging 6:00-6:45 Sr Jazz Team 6:45-7:30 Sr Clogging Team 7:30-8:15 Jazz 13+ Tuesday 3:45-4:30 4:30-5:15 Jazz/Lyrical 6-9 5:15-6:00 Preschool Tap/Ballet Combo 3-5 6:00-6:45 Beginner Clogging :45-7:30 Jazz/Lyrical :30-8:15 Intermediate Clogging 8:15-9:00 Advance Clogging Adults Wednesday 4:00-4:45 4:45-5:30 CheerDance/Poms 5:30-6:00 2 year old class 6:00-6:45 Hip Hop :45-7:15 Hip Hop 15+ Thursday 4:00-4:45 4:45-5:30? Novice Competition Team 5:30-6:15 Preschool Combo Ages 3-5 6:15-7:00 Beginner Clogging 13+ 7:00-7:45 Lyrical 13+ 7:45-8:30 Beginner Clogging - Adults

6 Palmetto Dance Center of Elgin Class Fees Fees: 1 Class 2 Classes/students 3 Classes Students Per Month $40 $70 $100 Pay Monthly by Auto draft checking account or/credit Card $35 $65 $95 Each Additional Class or Student (per month) $30 Conditioning Class for Enrolled Students For outside participants 5% Discount for Semester (5 months) $20 $40 August - December or January - May $190 $ $ % Discount for entire year August - May $360 $ $900 New Student Registration $15 Returning Student Registration $10 Costume Fee $60 Recital Fee* $30 *If you participate In advertisement sales, you do not have to pay a recital fee

7 Palmetto Dance Center of Elgin Important Dates FALL SEMESTER SPRING SEMESTER August 9 Grand Opening Celebration and Registration Registration and First Week of Class September 1 Holiday No classes 5 Auto Draft October 6-9 Bring A Friend Week 3 Auto Draft 30 Costume Deposit Due November 7 Auto Draft Thanksgiving Holidays Studio Closed December 5 Auto Draft Christmas Celebration at Studio Parents & Family come to class! 22 Jan 1 Christmas Break Studio closed January 2 Auto Draft 5 Students Return to Class 21 Holiday No classes February 6 Auto Draft March 2-6 No Classes (Miss Britton will be in TN) 5-8 Clogging Workshop in TN for all interested 6 Auto Draft April 3 Auto Draft 6-9 Spring Break Studio OPEN (Make-Up Classes for the week in March) TBA Studio Photos May 1 Auto Draft 15 Recital Rehearsal 16 Recital

DIXON DANCE STUDIO. Dance Schedule & Information N. Lincoln Street, # 107 Dixon, CA 95620

DIXON DANCE STUDIO. Dance Schedule & Information N. Lincoln Street, # 107 Dixon, CA 95620 DIXON DANCE STUDIO Dance Schedule & Information 1910 N. Lincoln Street, # 107 Dixon, CA 95620 (707)-678-8881 or (530)-979-1315 www.dixondancestudio.com DIXON DANCE STUDIO Teaching the art of dance, one

More information

Studio Policies

Studio Policies 2018-19 Studio Policies Welcome to EXPRESS Dance & Acrobatics. Our mission is to teach the fundamentals of dance and acrobatics, with an emphasis on commitment, education, safety, and fun in a healthy

More information

Recreational Dance & Acrobatic Class Policies

Recreational Dance & Acrobatic Class Policies 2016-2017 Recreational Dance & Acrobatic Class Policies Welcome to EXPRESS Dance & Acrobatics. Our mission is to teach the fundamentals of dance and acrobatics, with an emphasis on commitment, education,

More information

OBSERVED HOLIDAYS No classes

OBSERVED HOLIDAYS No classes 1 114 E Oak Ave Visalia, CA 93291 (559) 627-8277 spacpp@att.net www.spacdance.com @WeTrainDancers Student Enrollment form Please fill out for each student Student Name (First) (Last) Address (Town) (Zip)

More information

13 th Year Anniversary Season

13 th Year Anniversary Season 13 th Year Anniversary Season 2018 Spring semester- January 29 th -June 9 th Required minimums are established to assist students in developing the strength and confidence necessary to achieve the technical

More information

Tuition (and etc) Quick Reference

Tuition (and etc) Quick Reference Tuition (and etc) Quick Reference Tuition: Monthly tuition will be due the 3rd week of each month for the following month. All checks can be made out to Bloom Dance Studio. Please include your students

More information

SCBD Fall & Spring Registration Instructions Levels 5B and under Wednesday, May 23 at th St. Suite 120

SCBD Fall & Spring Registration Instructions Levels 5B and under Wednesday, May 23 at th St. Suite 120 SCBD 2018-19 Fall & Spring Registration Instructions Levels 5B and under Wednesday, May 23 at 1721 25 th St. Suite 120 5:30-6:30 (Group 1 Students enrolled in both Fall/Spring 2017-18 AND Summer 2018)

More information

WELCOME TO STANLY COUNTY GYMNASTICS!

WELCOME TO STANLY COUNTY GYMNASTICS! WELCOME TO STANLY COUNTY GYMNASTICS! 1960 Post Rd. Albemarle, NC 28001 Phone: 704-983-2414 Email: stanlycountygymnastics@gmail.com Website: www.stanlycountygymnastics.wildapricot.org Stanly County Gymnastics,

More information

Required Dance Supplies and Attire Policy

Required Dance Supplies and Attire Policy Required Dance Supplies and Attire Policy Hair must be secure and out of face for every class. Girls ages 3 yrs. -3 rd grade: Pink Leather Ballet Shoes Black Patent Leather Tap Shoes Tights (pink preferred)

More information

Milliken 2015/2016 School Year Registration Form

Milliken 2015/2016 School Year Registration Form Child s Name: Milliken 2015/2016 School Year Registration Form Child s Full Name Birthday Start Mother s Name Home or Cell Phone: Mother s Home Address/City/Zip: Place of Business & Address/City/Zip: Work

More information

New Students Previous Training? Please list previous experience in dance/ theatre. Attach another sheet if needed

New Students Previous Training? Please list previous experience in dance/ theatre. Attach another sheet if needed 2 Canton Street, Suite A-8 Stoughton, Massachusetts 02072 781-886-6136 theconservatory.school.arts@gmail.com theconservatoryschool.com 2016-2017 REGISTRATION FORM Student Name (first & last) Age: & DOB

More information

mhsb The Martha Hicks School of Ballet Toronto, Ontario M5M 3Y1 Tel: Classes Offered J A Z Z B A L L E T H I P H O P

mhsb The Martha Hicks School of Ballet Toronto, Ontario M5M 3Y1 Tel: Classes Offered J A Z Z B A L L E T H I P H O P The Martha Hicks School of Ballet mhsb 1660 Avenue Road. 2 nd Floor www.mhsb.ca Toronto, Ontario M5M 3Y1 Tel: 416-484-4731 2017-2018 Classes Offered Pre$Ballet Pre$Primary Primary Ballet.1 Ballet.2 Ballet.3

More information

Maury ES & Tyler ES Polite Piggy s Before and After School Requirements

Maury ES & Tyler ES Polite Piggy s Before and After School Requirements Maury ES & Tyler ES Polite Piggy s Before and After School Requirements Polite Piggy s Registration Application, permission slip, health form, media release form Income Verification and Policies A. If

More information

New Students Previous Training? Please list previous experience in dance/ theatre. Attach another sheet if needed

New Students Previous Training? Please list previous experience in dance/ theatre. Attach another sheet if needed Reg. Pd. Tuition Pd. Signed/Initialed 2 Canton Street, Suite A-8 Stoughton, Massachusetts 02072 781-886-6136 2018-2019 REGISTRATION FORM Student Name (first & last) Age: & DOB Home Address City/State/ZIP

More information

Master Class Intensive Week August 10 th 14 th $400/wk - $90/day - $45 class drop in $185-Ballet Classes Only $225-NonBallet Classes Only

Master Class Intensive Week August 10 th 14 th $400/wk - $90/day - $45 class drop in $185-Ballet Classes Only $225-NonBallet Classes Only DANCE DIMENSIONS PAC 2015 MASTER CLASS INTENSIVE REGISTRATION 818-999-DANCE (3262) Fax: 818-999-5298 PLEASE FILL OUT COMPLETELY! Today s Date: _ Student s Name (Please print) Age: Date of Birth: Parents

More information

U.S. GOLD GYMNASTICS & CHEER ACADEMY INC.

U.S. GOLD GYMNASTICS & CHEER ACADEMY INC. RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT ( AGREEMENT ) In consideration of participating in all activities at U.S. Gold Gymnastics and Cheer Academy, Inc., I represent

More information

STUDENT REGISTRATON. Emergency Contact: Medical conditions / allergies: Yes No If yes, please explain: Parent/Guardian's Signature:

STUDENT REGISTRATON. Emergency Contact: Medical conditions / allergies: Yes No If yes, please explain: Parent/Guardian's Signature: STUDENT REGISTRATON Student's Name: Age: Male/Female: of Birth: / / Are you a returning Footworks student (Y/N)? Years dance experience: E-mail address: How did you hear about us? (circle) WO TIMES-SW

More information

RIVERSIDE ACADEMY TUITION & FEE SCHEDULE Tuition Rates

RIVERSIDE ACADEMY TUITION & FEE SCHEDULE Tuition Rates RIVERSIDE ACADEMY 2017-2018 TUITION & FEE SCHEDULE Tuition Rates FAMILY TUITION DISCOUNTS (Deducted from total) Children Discount High School (9 th -12 th ) $6,248.00 2 13% Middle School (6 th -8 th )

More information

Charter Oak Gymnastics Winter Camps 2018

Charter Oak Gymnastics Winter Camps 2018 Charter Oak Gymnastics Winter Camps 2018 Week 1: December 26th 28th Week 2: January 2nd 4th Gymnastics! Have Work? Zip Line! Need To Do Shopping? Crafts! Have Too Much To Do? Games! Snacks! And MORE!!

More information

Praise His Name in the Dance Psalm 149:3

Praise His Name in the Dance Psalm 149:3 Praise His Name in the Dance Psalm 149:3 Welcome to our studio! The mission of Winchester Christian Ballet, Inc. is to provide the highest quality of classical ballet training, create an atmosphere of

More information

CREW & TEAM REGISTRATION PACKET SEASON

CREW & TEAM REGISTRATION PACKET SEASON CREW & TEAM REGISTRATION PACKET 2017-2018 SEASON ENROLLMENT: Enrollment in a class(s) & admittance to a team or crew requires a one-time non-refundable registration fee of $30 Per Dancer or $45 per household.

More information

Universal Satori Learning Centers, Inc. Extended-day/After-School Hours Program Parent/Guardian Contract

Universal Satori Learning Centers, Inc. Extended-day/After-School Hours Program Parent/Guardian Contract Universal Satori Learning Centers, Inc. Extended-day/After-School Hours Program Parent/Guardian Contract *REGISTRATION: The registration fee is $60 per student, and is due upon enrollment. This is a non-refundable

More information

FLYERS AFTER SCHOOL PROGRAM APPLICATION FOR CHILD. Childs Information. Date of Application: Child s Name (first & last name)

FLYERS AFTER SCHOOL PROGRAM APPLICATION FOR CHILD. Childs Information. Date of Application: Child s Name (first & last name) FLYERS AFTER SCHOOL PROGRAM 2014-2015 APPLICATION FOR CHILD *All information must be complete in order to enroll Childs Information Child s Name (first & last name) Name of School and Grade Date of Birth

More information

Enrollment Agreement - Page 1

Enrollment Agreement - Page 1 1414 Walnut St., Berkeley, CA 94709 5811 Racine St, Oakland, CA 94609 Ph: 510-848-0237 Fax: 510-848-0170 Ph: 510-595-9222 Fax: 510-595-9223 JCC OAKLAND AFTERSCHOOL 2018-2019 SCHOOL YEAR Enrollment Agreement

More information

2019 Nashville Pilot Camp Registration

2019 Nashville Pilot Camp Registration 2019 Nashville Pilot Camp Registration Camp Information The following pages contain the registration form, code of conduct, and all medical paperwork to be filled out. Be sure to fill these out and mail,

More information

POWAY UNIFIED SCHOOL DISTRICT EXTENDED STUDENT SERVICES (ESS) PROGRAM ALTERNATIVE PROGRAMS PARENT CONTRACT PLEASE LIST CHILDREN:

POWAY UNIFIED SCHOOL DISTRICT EXTENDED STUDENT SERVICES (ESS) PROGRAM ALTERNATIVE PROGRAMS PARENT CONTRACT PLEASE LIST CHILDREN: POWAY UNIFIED SCHOOL DISTRICT EXTENDED STUDENT SERVICES (ESS) PROGRAM ALTERNATIVE PROGRAMS PARENT CONTRACT PLEASE PRINT LEGIBLY IN INK PRESS HARD SCHOOL NAME STARTING DATE IN ESS PARENT/GUARDIAN LAST NAME

More information

LOSS/DAMAGE/THEFT OF PROPERTY

LOSS/DAMAGE/THEFT OF PROPERTY Kickin Kids After School Martial Arts Program Club Membership Agreement 2018/2019 American Kenpo Karate Studio 220 Business Center Drive Reisterstown, Maryland 21136 (410) 833-6090 Student s Name: Section

More information

ALL AMERICAN GYMNASTICS

ALL AMERICAN GYMNASTICS ALL AMERICAN GYMNASTICS ANNUAL REGISTRATION FORM Registration Month: REGISTRATION: All families must pay a $35.00 Annual Registration Fee before beginning any class. The $35.00 Annual Fee will then be

More information

YMCA AFTER SCHOOL CARE REGISTRATION PACKET

YMCA AFTER SCHOOL CARE REGISTRATION PACKET YMCA AFTER SCHOOL CARE REGISTRATION PACKET 2016-2017 Welcome! We look forward to having your family join us in the YMCA After Care Program! Sarah Kim Child Care Director 734.661.8058 skim@annarborymca.org

More information

Aviator GYMNASTICS Summer Day Camp Registration Form 2017 Price sheet Child s Name

Aviator GYMNASTICS Summer Day Camp Registration Form 2017 Price sheet Child s Name Aviator GYMNASTICS Summer Day Camp Registration Form 2017 Price sheet Child s Name Full Day Gymnastics Ages 5-16 9am-4pm Half Day / 8 Weeks 4 Weeks $ 1,500 3 Weeks $ 1,200 2 Weeks $ 850 1 Week $ 450 8

More information

Performing Arts Academy

Performing Arts Academy Please complete this form and bring it to auditions Performing Arts Academy 4400 Lewis St. Middletown, OH 45044 513-594-7242 MUSICAL THEATRE REGISTRATION FORM ENROLLMENT FOR SUMMER 2018 STUDENT NAME BIRTH

More information

BIG ROCK GYMNASTICS & DYNAMITE CHEER

BIG ROCK GYMNASTICS & DYNAMITE CHEER BIG ROCK GYMNASTICS & DYNAMITE CHEER Registration Form Please Print Clearly PERSONAL INFORMATION: Mailing Address City St Zip Both Parents E-Mail Address: / Home Phone # Childs Cell # Childs Email Mothers

More information

Charter Oak Gymnastics Winter Camp 2016

Charter Oak Gymnastics Winter Camp 2016 Charter Oak Gymnastics Winter Camp 2016 Week 1: December 26th-30th We may host 2nd week of Camp if enough families are interested January 2nd-6th Prices: Half Day $108 per week Full Day $178 per week Extended

More information

Parent/Guardian Signature Required Date

Parent/Guardian Signature Required Date C3 CYBER CLUB MEMBERSHIP AGREEMENT FORM Student Information New Student Returning Student Last Name Gender Male Female First Name DOB / / School Name Parent/Guardian Information Name SSN# Phone (H) Phone

More information

Passport Extended Programs Policies

Passport Extended Programs Policies Passport Extended Programs Policies Online enrollment with initialing waiver acceptance and/or use of drop in services of acknowledges the policies concerning program payments and procedures, as well as

More information

Continuing Education Discovery College Registration Form

Continuing Education Discovery College Registration Form Continuing Education Discovery College Registration Form Select a Campus: LSC-CyFair LSC- LSC- LSC-Tomball LSC-University Park LSC-Creekside Center Legal Name of Child Lone Star College Camper ID (Last)

More information

El Rincon (310)

El Rincon (310) 2015 2016 El Rincon (310) 736-8575 Welcome to STAR, STAR, Inc. is a charitable 501(c)(3) non-profit education organization serving kids, families, schools, and communities. For your convenience, the Galaxy

More information

Early Childhood and School Age Programs - Financial Information

Early Childhood and School Age Programs - Financial Information PAYMENTS & COLLECTION POLICIES Preschool, Before School, After School, Holiday Programs, UPK Extension The Center s Payment Policy is as follows: Childcare fees are due on the Monday of each week that

More information

Signature / Responsible Party. *Not to be completed for Drop-in Students. Classes Please See Attached Schedule Initial Start-Up Fees

Signature / Responsible Party. *Not to be completed for Drop-in Students. Classes Please See Attached Schedule Initial Start-Up Fees Student Information Student s Name: Date of Birth (MM/DD/YYYY): Mailing Address: Primary Phone: Phone (2): Name of Person responsible for paying fees: Primary Email Address: Primary Billing Phone # Medical

More information

To enroll your child in our program, please provide the following 4 items:

To enroll your child in our program, please provide the following 4 items: 4211 Waialae Ave #30, Honolulu, HI 96816 Phone: (808) 735-8811 Email: info@bbprekhawaii.com Aloha! Welcome to Bright Beginnings! To enroll your child in our program, please provide the following 4 items:

More information

Cheer Tumbling Registration Form. (Please complete all fields and understand all information stated below) Student Information

Cheer Tumbling Registration Form. (Please complete all fields and understand all information stated below) Student Information Signature of Parent/or Legal Guardian Cheer Tumbling Registration Form (Please complete all fields and understand all information stated below) How did you hear about us? Referral Name: Student Information

More information

KANJIZAI MARTIAL ARTS LLC 2018 CAMP REGISTRATION

KANJIZAI MARTIAL ARTS LLC 2018 CAMP REGISTRATION KANJIZAI MARTIAL ARTS LLC 2018 CAMP REGISTRATION Camper #1 Information Name DOB Gender Special Requirements (allergies, medications, behavioral challenges, etc.) Camper #2 Information Name DOB Gender Special

More information

Swim School. 107 Panorama Rd Rooihuiskraal. Fax:

Swim School. 107 Panorama Rd Rooihuiskraal. Fax: 107 Panorama Rd Rooihuiskraal Fax: 086 605 8006 083 264 6187 STUDENT INFO DATE : Date of Birth : Age : Grade : Learn to Swim : 1 2 Private Lessons : Parent and Baby : FOR OFFICE USE ONLY Adult Aqua Aerobics

More information

REMINDER W.V.C.C. IS CLOSED AUGUST 17 th 21 st

REMINDER W.V.C.C. IS CLOSED AUGUST 17 th 21 st June 22 nd -August 14 th WORLD VIEW SUPER SUMMER PROGRAM 12700 S.E. Crain Highway Brandywine, MD 20613 301-372-0053 Office 301-372-0842 Fax www.worldviewchristiancenter.com info@worldviewchristiancenter.com

More information

Session I and Session II Session I: June 5 June 9, Performance June 10th; Hollydale United Methodist Church

Session I and Session II Session I: June 5 June 9, Performance June 10th; Hollydale United Methodist Church th Session I and Session II Session I: June 5 June 9, Performance June 10th; Hollydale United Methodist Church Session II: June 12th - June 16th, Performance June 13th; Music On Wheels Academy Music Camp

More information

HELPING TEENS THRIVE. Youth & Government CENTRAL YMCA

HELPING TEENS THRIVE. Youth & Government CENTRAL YMCA HELPING TEENS THRIVE Youth & Government CENTRAL YMCA LEARN MORE WHAT IS YOUTH & GOVERNMENT? Learn first-hand how our state government works not by watching, but by doing! Each September for six months,

More information

Y s KIDS REGISTRATION SCHOOL AGE CARE

Y s KIDS REGISTRATION SCHOOL AGE CARE Y s KIDS REGISTRATION SCHOOL AGE CARE Office Use Only: Site AM PM 1 HR Immunizations Registration Billing Parent Agreement TE Form Start Date CHILD First Name Middle Initial Last Name Birthday Gender Home

More information

YMCA of the Coastal Bend Summer Camp 2018 Enrollment Form

YMCA of the Coastal Bend Summer Camp 2018 Enrollment Form PARTICIPANT INFORMATION: YMCA of the Coastal Bend Summer Camp 2018 Enrollment Form Child (1) Name: Sex: [M] [F] (circle one) of birth: / / Camp Type/Location: YMCA Day Camp (Pre-K - 5 th ) Downtown YMCA

More information

AeroCamp 2015 Camp Information

AeroCamp 2015 Camp Information AeroCamp 2015 Camp Information Old Bridge Flight School is offering Aviation Camp (AeroCamp) for children ages 10 through 18. The program will run from Monday July 6 through Friday July 10, 2015, 09:00

More information

Governors State University, College of Arts and Sciences Summer 2018 STEAM Camp Registration

Governors State University, College of Arts and Sciences Summer 2018 STEAM Camp Registration Governors State University, College of Arts and Sciences Summer 2018 STEAM Camp Registration This is the registration form for the 2018 STEAM Camps at Governors State University. You may register by filling

More information

Evaluation and Team Registration Information

Evaluation and Team Registration Information Tryout Date: May 26, 2018 Evaluation and Team Registration Information Time: (3-5 years) 9:00 to 10:00 Time: (6-10 years) 10:00 to 12:00 Time: (11-13 years) 1:00 to 3:00 Time: (14-18 years) 3:00 to 5:00

More information

Re-Enrollment Packet st - 6 th. Applicant s Name Grade

Re-Enrollment Packet st - 6 th. Applicant s Name Grade Applicant s Name Grade Aftercare needed: Yes or No Re-Enrollment Packet 2019-2020 1 st - 6 th Thank you for considering Mountain Home Christian Academy in the educational future of your child. Our program

More information

Metzlers Gymnastics Training Center NON-COMPETE TEAM REGISTRATION FORM Please Print Clearly

Metzlers Gymnastics Training Center NON-COMPETE TEAM REGISTRATION FORM Please Print Clearly Metzlers Gymnastics Training Center NON-COMPETE TEAM REGISTRATION FORM Please Print Clearly Last Name: Parent s Name: Address: City: State: Zip Code: Home Phone: Cell Phone: E-mail address: Work Phone:

More information

Before and After School Care Program

Before and After School Care Program Before and After School Care Program 2018/2019 School Year Updated 7/30/2018 What is Crusader Club Crusader Club (CC) is a before and after school program providing Mission Viejo Christian School students

More information

JAMZ 2017 THOUSAND OAKS CHEER & DANCE CAMP

JAMZ 2017 THOUSAND OAKS CHEER & DANCE CAMP JAMZ 07 THOUSAND OAKS CHEER & DANCE CAMP EVENT DETAILS WHEN: Saturday, August th - Sunday, August th CAMP SCHEDULE: SATURDAY 8:0am - Coach Check-in 9:0am - :0pm - Camp Instruction SUNDAY 9:0am - :0pm -

More information

Registration Information

Registration Information Registration Information Early Bird Registration: April 18th to May 16th, 2016. Deals include single class discount (10% off tuition), multi-class discount (15% off tuition). Both deals apply only if paid

More information

The DuPont Country Club 2018 Membership Application

The DuPont Country Club 2018 Membership Application APPLICANT NO. 1 The DuPont Country Club 2018 Membership Application For questions, call the Membership Office at (302) 421-1722. PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE. APPLICANT INFORMATION OFFICE

More information

Welcome To The MasterDrive Experience. Driving Camp Application Package Instructions And Keys To Success

Welcome To The MasterDrive Experience. Driving Camp Application Package Instructions And Keys To Success 3280 East Woodmen Road, Suite 100 Colorado Springs, CO. 80920 719 260-0999 fax 719 260-9676 Visit our website at www.masterdrive.com Welcome To The MasterDrive Experience Driving Camp Application Package

More information

Summer Horse Camps 2019 Things to Remember. Camp Location: Please drive slowly on Rocky Road. on the first day

Summer Horse Camps 2019 Things to Remember. Camp Location: Please drive slowly on Rocky Road. on the first day Summer Horse Camps 2019 Thank you for making Cedar Ridge Equine Horse Camp a part of your summer vacation! We look forward to having you. This year each group will enjoy a number of daily activities including

More information

Extra Fees: AUTUMN/SPRING TERMS WINTER TERM Ski Beginners Y6 Y9 n/a 6,000 Swimming Beginners Y6 Y9 1,500

Extra Fees: AUTUMN/SPRING TERMS WINTER TERM Ski Beginners Y6 Y9 n/a 6,000 Swimming Beginners Y6 Y9 1,500 FINANCIAL CONDITIONS SCHOOL YEAR 2018-19 - Boarding A/ Registration fee and guarantee deposit One-time registration fee: CHF 2,000 (student file, entrance examinations, visits, etc.). Non-refundable. This

More information

**CLOSED FOR MEMORIAL DAY WEEKEND**

**CLOSED FOR MEMORIAL DAY WEEKEND** DANCE DIMENSIONS PAC 2016 BALLROOM DANCE REGISTRATION 818-999-DANCE (3262) Fax: 818-999-5298 PLEASE FILL OUT COMPLETELY! Today s Date: _ Student s Name (Please Print) Age: Date of Birth: Parents Names

More information

Summer Theatre Camps At UTEP!

Summer Theatre Camps At UTEP! Summer Theatre Camps At UTEP! REGISTRATION BEGINS MARCH 19, 2018 June 4-22 (ACTING CAMPS) June 25-July 1 (TECHNICAL THEATRE CAMP) https://www.utep.edu/liberalarts/theatre-dance/ Click on the RESOURCES

More information

Registration Information

Registration Information Registration Information Early Bird Registration: Now until May 17 th /17. Deals include single class discount (10% off tuition), multi-class discount (15% off tuition). Both deals apply only if paid in

More information

Kids R.O.C.K. Summer 2019 Registration Packet

Kids R.O.C.K. Summer 2019 Registration Packet City of Inver Grove Heights Parks and Recreation Department Kids R.O.C.K. Summer 2019 Registration Packet Please carefully complete all of the following pages. Your child s registration will not be processed

More information

STOCKTON SAILING CLUB LEARN TO SAIL CLASS REGISTRATION FORM

STOCKTON SAILING CLUB LEARN TO SAIL CLASS REGISTRATION FORM CLASS REGISTRATION FORM Participant s Name: Today s Date: Address: City: State: Zip Code: Date of Birth: Age: Email: Home Phone: Mobile Phone: Parent/Guardian Name: Daytime Phone: Parent/Guardian Name:

More information

BLC Before and After School Programs Registration Form - August 2018 to June 2019

BLC Before and After School Programs Registration Form - August 2018 to June 2019 Return this form with $40 non-refundable annual registration fee (per family) by email, mail, or in person at: BLC, 5821 Wentworth Ave. S, Minneapolis, MN 55419 - if sent by email we will invoice you for

More information

Stars Vipers Prep Team

Stars Vipers Prep Team Stars Vipers Prep Team Looking to join Competitive Cheerleading but just not sure about the time and financial commitment? Prep Team is just for you! Easier Time Commitment Less Financial Commitment Same

More information

CHAMPS REGISTRATION Continued Hours at Mansfield Public Schools 255 East Street, Mansfield, MA ~

CHAMPS REGISTRATION Continued Hours at Mansfield Public Schools 255 East Street, Mansfield, MA ~ CHAMPS 2015-2016 REGISTRATION Continued Hours at Mansfield Public Schools 255 East Street, Mansfield, MA 02048 ~ 508-261-7539 Welcome to CHAMPS for the 2015-2016 school year. Registration is now open for

More information

Contact Information. Policy Information

Contact Information. Policy Information Contact Information Student Name: Home Phone: Emergency Contact: Parent/Guardian Name: Parent/Guardian Cell Phone: Parent Guardian Email: Age: (If Under 18) Birthday: Address: City State: Zip Code PAYMENT/

More information

Parent & Camper Handbook/Manual

Parent & Camper Handbook/Manual SLAM Sports Summer Camp Parent & Camper Handbook/Manual 2014 SLAM 5 5 5 SLAM 326-0003. SLAM SLAM SLAM Charter schools's d SLAM Academy 25.00 9:00 4 120.00 SLAM 5 5 SLAM SLAM SLAM SLAM main lobby of the.

More information

2017 Child Care Contract

2017 Child Care Contract 2017 Child Care Contract My Small Wonders, Inc. 733 Village Parkway Edmond, OK 73003 Scott and Tammy Werner Officers Danniel Green Director Child Care Contract Page 1 Revised 10/31/2016 Table of Contents

More information

Cool Before and Afterschool Program Randall STEM Academy

Cool Before and Afterschool Program Randall STEM Academy Cool Before and Program Randall STEM Academy Payment Plan Agreement 2018-2019 School Year A payment plan is available to parents/guardians wishing to register their child(ren) for the Before/ Program.

More information

HAWAII JUDO ACADEMY Building Champions for Success at All Levels in Life

HAWAII JUDO ACADEMY Building Champions for Success at All Levels in Life 10AM 11AM CLASS SCHEDULE Monday Tuesday Wednesday Thursday Friday Saturday Training (Kids &Adult) 10:00-12:00) 12AM 1 PM 4PM Kids Intro 4:30-5:00 5 PM Kids Kids 1 5:00-7:00 5:00-6:10 6 PM Kids 2 6:15-7:25

More information

UTSA Chinese Sunday School

UTSA Chinese Sunday School UTSA Chinese Sunday School SUMMER 2018 ONE-WEEK DAY CAMP Now Enrolling Classes Offered From 6/4/-6/8/201 & 7/23-7/27/2018 Programs: Chinese Language Enrichment Chinese Arts & Crafts Chinese Painting /

More information

Mui Wo OWLS School Kindergarten Section

Mui Wo OWLS School Kindergarten Section Mui Wo OWLS School Kindergarten Section (Registration No. 579009) REGISTRATION FORM (2016/2017) Student s Name: (Female/Male) Name to be used in class: Date of birth: (dd/mm/yy) / / Nationality: Language(s)

More information

Thank you for your interest in the Apartment rental. APPLICATION REQUIREMENTS for PROSPECTIVE TENANTS and GUARANTORS:

Thank you for your interest in the Apartment rental. APPLICATION REQUIREMENTS for PROSPECTIVE TENANTS and GUARANTORS: Thank you for your interest in the Apartment rental APPLICATION REQUIREMENTS for PROSPECTIVE TENANTS and GUARANTORS: Completed Rental Application for each adult Occupant and completed Guarantor Application

More information

AGREEMENT AND FEE FORMS

AGREEMENT AND FEE FORMS GYMNASTICS WORLD TEAM AGREEMENT AND FEE FORMS 2016-2017 The following rules, policies, fee schedules, and payment procedures are in effect starting June 1, 2016 through May 31, 2017. Please read and understand

More information

Stark Museum of Art Application for Summer 2016 Art Quest Program, Health Form/Consent, and Liability Waiver

Stark Museum of Art Application for Summer 2016 Art Quest Program, Health Form/Consent, and Liability Waiver Stark Museum of Art Application for Summer 2016 Art Quest Program, Health Form/Consent, and Liability Waiver Camp Sessions and Costs Listed on Page 2 Application Due June 9, 2016 Application must be complete

More information

CONTRACT FOR ENROLLMENT Financial Agreement for 18 19

CONTRACT FOR ENROLLMENT Financial Agreement for 18 19 Westwood Schools 255 Fuller Street P. O. Box 528 Camilla, GA 31730 (229) 336 7992 www.westwoodschools.org Westwood Schools is a college preparatory school where all students are inspired to reach their

More information

Y-CLUB AFTERSCHOOL PROGRAM

Y-CLUB AFTERSCHOOL PROGRAM 2017-2018 Y-CLUB AFTERSCHOOL PROGRAM AFTERSCHOOL PROGRAM The Y-Club Program is a fun place to be after school with lots of positive staff interaction and learning opportunities. We provide a healthy afterschool

More information

GRIMSLEY HIGH SCHOOL BAND 2018 SPRING TRIP ORLANDO, FLORIDA UNIVERSAL STUDIOS, UNIVERSAL S ISLANDS OF ADVENTURE AND SEAWORLD MARCH 15, 2018 MARCH

GRIMSLEY HIGH SCHOOL BAND 2018 SPRING TRIP ORLANDO, FLORIDA UNIVERSAL STUDIOS, UNIVERSAL S ISLANDS OF ADVENTURE AND SEAWORLD MARCH 15, 2018 MARCH This band trip pricing is based on taking one 56 passenger bus. We will accept the first 52 students who turn in the trip paperwork and pay the $200 deposit. When the bus is full, we will start a waiting

More information

AUDITIONING IN THE THEATRE PROGRAM

AUDITIONING IN THE THEATRE PROGRAM AUDITIONING IN THE THEATRE PROGRAM Thank you for taking the time to visit our site and download the necessary forms to auditioning. Please under that there are MANY things to READ and consider before auditioning.

More information

С.К.У.Д. ФРУЛА SIGN-UP BOOKLET SEASON. Please Read Carefully

С.К.У.Д. ФРУЛА SIGN-UP BOOKLET SEASON. Please Read Carefully SIGN-UP BOOKLET 2018 2019 SEASON Please Read Carefully MEMBERSHIP EXPLAINED SKUD Frula offers two distinct ways of involvement in the Society s programs and/or governance to those interested: Program Participation

More information

Requirements for New Cats Club Enrollment

Requirements for New Cats Club Enrollment Requirements for New Cats Club Enrollment Registration Form Charge Requirement Form Auto Debit Form with voided check Parent Handbook Receipt KY Immunization Certificate with Hepatitis A immunization (per

More information

Student's Name (First) (Middle) (Last) Address (Street) (City) (Zip)

Student's Name (First) (Middle) (Last) Address (Street) (City) (Zip) TRINITY LUTHERAN CHURCH & SCHOOL * 3016 West Vine Street * Kissimmee, Florida 34741 * (407) 847-5377 2017-2018 Application for Enrollment Pre-K 3 - Tenth Grade * * * * * * * * * * * * * * * * * * * * *

More information

Shining Stars Afterschool Program

Shining Stars Afterschool Program Shining Stars Afterschool Program Monday-Friday 3:45-7:15 pm $40 per week/1st child $30 per week/2nd child *$36 for 3-Day Drop-In *Each Child* Games Crafts Movies Sports Homework Assistance Daily Snack

More information

Working conditions at Children s International School

Working conditions at Children s International School Working conditions at Children s International School General regulations All hiring takes place through a written contract from the first month the employee is at work, with a trial period of six months.

More information

ADULT LEARN TO SAIL PROGRAM

ADULT LEARN TO SAIL PROGRAM 2018 ADULT LEARN TO SAIL PROGRAM www.fwbc.com April September About the program The Fort Worth Boat Club Adult Sailing Program- provides sailing instruction for adults who are eager to learn how to sail

More information

SHANGRI LA BOTANICAL GARDENS AND NATURE CENTER 2017 EcoRangers Application, Health Form/Consent, and Liability Waiver

SHANGRI LA BOTANICAL GARDENS AND NATURE CENTER 2017 EcoRangers Application, Health Form/Consent, and Liability Waiver SHANGRI LA BOTANICAL GARDENS AND NATURE CENTER 2017 EcoRangers Application, Health Form/Consent, and Liability Waiver CAMP SESSIONS AND COSTS LISTED ON PAGE 2 APPLICATION DUE DATE: JUNE 23, 2017 Application

More information

Golden Gate School of Feng Shui Application and Registration

Golden Gate School of Feng Shui Application and Registration Golden Gate School of Feng Shui Application and Registration 2010-2011! Today s Date Legal Name AKA Name(s) Address City State Zip Home Phone Mobile Work Phone Email Date of Birth Place of Birth Country

More information

CHALLENGER WORLD TOURS (CWT)

CHALLENGER WORLD TOURS (CWT) CHALLENGER WORLD TOURS (CWT) TRAVELER REGISTRATION DOCUMENT & TERMS AND CONDITIONS Mail, Fax or Scan/Email To: Challenger World Tours Attn: Gareth Hughes 8263 Flint, Lenexa, KS 66214 USA Phone: 800-878-2167

More information

JING KIDS Summer Camps!

JING KIDS Summer Camps! JING KIDS Summer Camps! Space. The Final Frontier June 18 - August 17, 2018 Daily Schedule Time 8:00am 9:15am 9:45am Activity Learning Centers Chinese Language Activity Recess/Snack 10:15am Chinese Arts

More information

Before and After School Care

Before and After School Care Before and After School Care BLAIR FAMILY YMCA 2016-2017 School Year Registration Forms To put Christian principles into practice through programs that build a health spirit, mind and body for all. -YMCA

More information

Library Vision and Mission 2. Governance 2. Library Card Eligibility 2-3. Checkout 3-4. Items on Hold 4. Renewing Library Materials 4

Library Vision and Mission 2. Governance 2. Library Card Eligibility 2-3. Checkout 3-4. Items on Hold 4. Renewing Library Materials 4 Library Vision and Mission 2 Governance 2 Library Card Eligibility 2-3 Checkout 3-4 Items on Hold 4 Renewing Library Materials 4 Overdue Items 4-5 Damaged Items 5 Lost Items 5 Other Fees 5 Payment of Fines

More information

Time/Day Mon Tues Wed Thu Fri Sat

Time/Day Mon Tues Wed Thu Fri Sat Enrolment Form Student and Family Information Name of Child (First name) (Last name) Date of Birth Gender Name of Parent (First name) (Last name) Street Address Suburb/Postcode Mobile (Mother) (Father)

More information

Athlete C hecklist. Step 1: Step 2: Step 3: Step 4: CONTACT INFORMATION:

Athlete C hecklist. Step 1: Step 2: Step 3: Step 4: CONTACT INFORMATION: Athlete C hecklist Step 1: Complete the ATHLETE REGISTRATION forms including: ATHLETE INFORMATION ATHLETE RELEASE & WAIVER OF LIABILITY & ACCIDENT AGREEMENT PAYMENT AGREEMENT Step 2: Return forms with

More information

JAMZ 2017 HAYWARD SCHOOL CHEER & DANCE CAMP

JAMZ 2017 HAYWARD SCHOOL CHEER & DANCE CAMP JAMZ 07 HAYWARD SCHOOL CHEER & DANCE CAMP EVENT DETAILS WHEN: Tuesday, July th - Thursday, July 7th CAMP SCHEDULE: Coach Check-in: 9:00am (Tuesday) Camp Instruction: :00am - 9:00pm (Tuesday) 9:00am - 9:00pm

More information

SUMMER SPORTS CAMP Flowood YMCA 2016 Registration Form

SUMMER SPORTS CAMP Flowood YMCA 2016 Registration Form SUMMER SPORTS CAMP Flowood YMCA 2016 Registration Form Must Register by APRIL 1st to guarantee t-shirt size. Do you have a YMCA Family Membership [] Yes []No Member ID Individual Only Memberships are not

More information

Registration Form. Address City State Zip Home Phone (if different) Employer Name Employer Address City State Zip Work Phone Address

Registration Form. Address City State Zip Home Phone (if different) Employer Name Employer Address City State Zip Work Phone  Address Registration Form First Parent/Guardian Name SSN: Address City State Zip Home Phone (if different) Employer Name Employer Address City State Zip Work Phone Email Address Second Parent/Guardian Name SSN:

More information

Summer Adult Strength & Conditioning

Summer Adult Strength & Conditioning Create Your Opportunity Summer Adult Strength & Conditioning - 2019 [ Monday April 29th, 2019 - Saturday November 2nd, 2019 ] Name: Home Phone Athlete Cell: E-mail: Address: City: Country: Prov: Postal:

More information