En Avant School of Dance Registration Form for Fall Classes

En Avant School of Dance Registration Form for Fall Classes
En Avant School of Dance Registration Form for Fall Classes
The $30 registration fee is due with the form below. All accounts must be paid in full before registering.
Returning students please register by June 30th. If you owe a balance on last year, the registration fee
payment will be applied to your balance due. We will start accepting new students July 1st.
Student’s name: ______________________________ Parent’s Name: _________________________________
Address and Zip: ____________________________________________________________________________
Home Phone#:______________________Work Phone#____________________________ for: _____________
Cell Phone#: __________________ for: _____________ Cell Phone #2 ________________ for _____________
Age of student:____________ Date of birth: _____________ Grade in upcoming school year: _____________
Number of years experience:_________What types of dance?_______________________________________
With what studio(s)? ___________________________________________
Please check appropriate class(es) (You may wish to mark a 2nd choice in case of scheduling conflicts)
_____ PRE-BALLET/CREATIVE MOVEMENT (Required for 3 year olds)
_____ BALLET AND TAP COMBINATION (Required for students age 4 - 6)
_____ BALLET AND JAZZ COMBINATION (Second grade and up –45 min or 1 hour class)
_____ BALLET/TAP/JAZZ COMBINATION (1 or 1 ¼ or 1 ½ hour Second grade and up)
_____ HIP HOP (Age 10 and up.) Only offered limited days/ times due to teacher availability.
_____ JAZZ ONLY (Age 10 and up –30 or 45 min. class)
_____ JAZZ AND TAP COMBINATION (Age 10 and up –45 min or 1 hour class)
_____ BALLET/POINTE (Age 12 and up – INTERMEDIATE AND ADVANCED BALLET STUDENTS ONLY.)
****All students who wish to begin pointe must have the teacher’s permission.
_____ MODERN (Age 12 and up)
_____ COMPETITION TEAM (Ballet and Jazz classes also required for competition program)
*We group classes by age, experience, ability, and interest. To insure the most ideal groupings, we must
know your schedule availability so we may organize classes accordingly. Please be specific as possible!
CLASSES ARE AVILABLE MONDAY - FRIDAY FROM 4:00 TO 10:00 P.M. AND SUNDAY FROM 12:00 TO 10:00 P.M.
*Days and times that are BEST for your schedule: ______________________________________________
*Days and times that are NOT POSSIBLE: ____________________________________________________
*What is the EARLIEST possible time you could come to class? ____________________________________
*Any special requests? (Prefer class with a specific person, classes to be back to back, teacher preference etc.)
__________________________________________________________________________________________
If you have any questions, please call Mary Liz at (715) 874-5575 or Heather at (715) 598-4228.
PLEASE SEND FORMS TO: En Avant School of Dance, 3330 N. Town Hall Rd. Eau Claire, WI 54703 Thank You!
RELEASE AND WAIVER OF LIABILITY AGREEMENT
I give my child permission to participate in dance class/es with En Avant School of Dance. I am aware that
these activities could result in injuries to my child. By signing below, I will not hold En Avant or any En Avant
Staff responsible or liable for any injuries incurred to my child while participating in classes at En Avant. I
agree to accept any and all risks of bodily injury, death, property damage, whether those risks are known or
unknown.
I have carefully read this agreement and fully understand its contents. I am aware that this is a release of
liability and contract between myself, my child and En Avant School of Dance and its employees, and sign it
of my own free will.
________________________________________
Print Students Name
___________________________________
Date
________________________________________
Print Parents Name
___________________________________
Parents Signature
REGISTRATION INFORMATION FOR FALL CLASSES
Classes are scheduled to begin after Labor Day, and basically follow the Eau Claire school calendar.
When the fall schedule is complete, you will receive a class confirmation letter in the mail.
Typically, this is
mid- August.
Lessons should be paid at the beginning of each month. We do not send out monthly bills, however credit
card auto pay is available upon request. Lessons are available on a monthly basis only, with an average of four
classes per month. If you miss a class for any reason, it may be made up in another class of similar level within one
month of that absence. There will be absolutely no refunds for lessons missed. You pay for all lessons whether you
come or not. This is the only way I can maintain a reasonable rate of charge.
You do not pay for lessons that are canceled.
Any lessons that are canceled for any reason (the teacher is sick,
bad weather, holiday vacation days etc.) will be calculated into the last month of that semester. (First semester
cancellations will be credited to December lessons and second semester cancellations will be credited to June.)
All ballet students are required to wear leotards, tights, and ballet slippers. It is important that the teacher be
able to see clearly the student’s body alignment, therefore, loose and/or bulky clothes are not allowed.
All jazz and hip hop students are required to wear jazz shoes or jazz sneakers. Street shoes will not be
acceptable as the dirt from outside destroys the surface of the dance floor.
En Avant requires a $30 registration fee, a maximum of $60 per family.
This registration fee helps to insure the
commitment of students who register for classes. Refunds are only given to students we are unable to
accommodate.
Registration fees must be paid when the form is turned in. Students will not be considered registered until
the fee is paid. Returning students must have account balances paid in full before registering.
LESSON FEES ARE AS FOLLOWS:
30 minute classes
$30. Per Month
45 minute classes
$38. Per Month
1 hour classes
$42. Per Month
1 ¼ hour classes
$46. Per Month
1 ½ hour classes
$50. Per Month
Please return completed Registration Form along with the $30.00 Registration Fee and
signed Liability Agreement Form.
VISIT OUR WEBSITE AT www.enavantdance.com
We are also on Facebook! http://www.facebook.com/pages/En-Avant-School-of-Dance/179451548764998
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