Dance Class Registration


Apr 23, 2024 03:50 AM



Dance Class Registration Form
10-Month Commitment Based Contract Enrollment Fee: $45 per student (Non-Refundable)
Student’s Name:
Address:
City/State: Zip:
Mobile: _______________ Birthdate: ___/___/___ Current Grade: ______ School Attending: Mother/Legal Guardian:
Mobile: _______________ Work Number:
Age:
Email Address:
Father/Legal Guardian:
Mobile: _______________ Work Number:
Email Address:
Emergency Contact:
Relationship to Child:
Email Address:
Previous Dance Study: Location: ____________________________ Length: __________
Any Medical Concerns/ Allergies/ Medications:
How did you hear about us? (Check one of the following):
[ ] WEBSITE [ ] FACEBOOK [ ] INSTAGRAM [ ]GROUPON [ ] GOOGLE [ ] Referral, if so by who?:
1|Page
Phone:

TABLE OF CONTENTS
I. TUITITION FEES
II. DANCESTUDIO-PRO LOGIN
III. ENROLLMENT FEE
IV. POLICIES AND PROCEDURES
A.DANCE COMPANY TUITITION FEE B.DROP-IN RATE
C.PRIVATE LESSONS
D.ROOM RENTAL
E. FEES
F. COSTUME/RECITAL FEE
G.TICKETS
H.RECITALS
I. REFERRALS
J. ABSENCES
K.TARDINESS
L. CLASS ETIQUETTE
M. TERMINATION OF LESSONS N.CANCELLATION OF PRIVATES O.HOLIDAYS
P.GENERAL EXPECTATIONS
Q.GENERAL STUDENT EXPECTATIONS R.GENERAL EXPECTATIONS OF PARENTS
S. DRESS CODE
T. DISCLAIMERS
U.ACKNOWLEDGMENT OF UNDERSTANDING
2|Page

I. TUITION FEES
Monthly tuition fees are due on the 1st of each month. Tuition is per month not per class. After a 5-day grace period, any payment not received is subject to a $10.00 late fee. If there is not payment by the 7th of the month, your card will be charged that months full balance inclusive of the $10 late fee and following for each consecutive week payment is late. The tuition fees are the same every month, including the months shortened by holidays. Tuition remains the same regardless of absences and whether it is a long (5-weeks) month or a short (3-weeks) month. Tuition is based off a 10-month annual year, beginning in August and ending in June. Please read the following payment options below and circle your preferred payment option. Please sign and provide a copy of your credit/debit, driver’s license/ID for our records.
II.
Payment Options:
1. You may pay by Credit/Debit Card. The account holder is responsible for providing a copy of their credit/debit card and their driver’s license/ID for our records. The account holder will also sign a credit authorization form. The credit card authorization will remain in effect until cancelled. You may cancel this authorization by written notice to the Owner within thirty (30) days before upcoming tuition payment.
2. You may pay by Check. (There will be a $40 fee incurred for each check that is returned.) In the event that any check is returned unpaid for any reason, the Owner may place a stop transfer order against all shares issued a result of such check or order; and the Owner may take appropriate action at any time.
3. You may pay by Cash.
DANCESTUDIO-PRO LOGIN
All parents are given a DanceStudio-Pro login. This login will give you access to register for classes, make online payments, book private lessons, view your calendar and view your account. Your portal is utilized for all communication. Please monitor your account frequently to ensure you don’t miss any payment dates, important updates, and any emergency alerts.
III. ENROLLMENT FEE
An annual non-refundable $45 Enrollment Fee per student (or per 1st member of the family) to cover administrative costs is required yearly at the time of registration. Additional family members are charged the annual enrollment fee at a discounted rate as follows: $25 for 2nd member of the family, $15 for the third member and all additional members of the family.
3|Page

IV.
POLICIES AND PROCEDURES
A. DANCE CLASS TUITION FEE:
Per Month
Fee:
1⁄2 Hour
$40
1 Hour
$70
1.5 Hours
$85
2 Hours
$115
3 Hours
$165
4 Hours
$205
5 Hours
$245
6 Hours
$275
7 Hours
$302
8 Hours
$330
9 Hours
$350
10 Hours
$373
11 Hours
$385
12 Hours
$403
13 Hours
$416
14 Hours
$425
15 Hours
$435
Each additional 1⁄2 hour after 15 hours = $10 Each additional 1 hour after 15 hours = $20
B. DROP-IN RATE:
C. PRIVATE LESSONS
Per Hour:
Fee:
1 Hour per class
$35
1.5 hour per class
$45
The private lesson rates may vary based upon the Owner’s discretion. The private lesson rates are reflected below:
4|Page
Per Hour:
Fee:
Per 1⁄2 hour
$40-$60
Per hour
$65-$100

ROOM RENTALS
1⁄2 hour per class $15 1 hour per month $30 1.5 hour per month $50
FEES
receive a due date and price list upon signing the contracts, which will be to you by the Owner.
COSTUME/RECITAL FEE
Costume and Recital fees include the costume, shipping & handling charges,
D.
• • •
E.
You’ll handed back
administrative costs of ordering, production charges, theater rental, special equipment rental, props, sets, lighting, sound, additional recital administrative costs, programs and printing costs. The fee is $120.00 per student, per class and is considered due at time of registration. The deadline is November 1st. After that date there is a late costume fee of $40 (if we are able to accomplish this with the costume company). Any costume not picked up by June 1st will become studio property. Costume exchanges must be within the first week of issuance. All fees must be paid by May 1st to be eligible to perform. No refunds will be issued for any reason.
G. TICKETS
Tickets are sold separately, on-line, and are $25-$45 each. Ticket prices vary depending upon the recital venue.
H. RECITALS
Recital and recital rehearsals are tentatively scheduled for June. Please be open and available between 10 am – 6 pm.
Each student who participates in the recital will be in at least one of these shows. We regret we are unable to accept any special requests for days or times. Please note you may be asked to provide specific color tights and/or dance shoes for the recital. We are instilling the value of a polished, professional performance which requires regular attendance, dedicated practice and full-dress rehearsal participation. Therefore, our dress rehearsals are mandatory and our dancers may not participate in dress rehearsal only, as this proves detrimental to the entire group and final presentation.
I. REFERRALS
You will receive a $50 credit to your account for referring a new student to the studio. Your credit will appear after they register and pay their first month’s tuition.
J. ABSENCES
There are no refunds or credits given if a student is absent from class. You can make-up classes within the same month (30 days) in another class of the same level. If your usual instructor is absent, another qualified member of our staff will be available to substitute the lesson. If a substitute cannot be provided, either the class will be rescheduled by the instructor or you will receive a per lesson credit towards your next month’s tuition based on the Owner’s discretion.
5|Page
F.

K. TARDINESS
Student must be on time for each scheduled class at the proper time of arrival. If the Student is 10 minutes past their scheduled class time, the Student may not be allowed in class based upon the Teacher’s discretion. If there are any questions or concerns and a Parent would like to meet with a Staff Member, the Parent must then email the Owner to make an appointment. Remember all Directors, Staff Members, and Guest Artists strictly enforce all policies.
L. CLASS ETIQUETTE
All students must present themselves always with dignity, pride, and respect not only for others, but also for themselves in and out of the classroom setting. Each Student must arrive on time to their appropriate class with all hair out of their face, no chewing gum, no talking in class unless spoken to by the Instructor, Director, or Choreographer. Always remember that first and foremost dance is a discipline that should be taken seriously, always.
Your discipline, hard work, and dedication will determine your skill level. The goals set forth by you will determine how you will improve in the way desired. Teachers can only do so much then it’s up to the students and parents to be of assistance in this matter.
M. TERMINATION OF LESSONS
Thirty (30) day notice is required to discontinue any lessons. Withdrawal must be in written form and must be provided in person. Withdrawal will not be accepted over the phone or via electronic communication. You will be considered a student and billed accordingly unless a withdrawal form is completed. To withdraw from lessons a parent or adult student must:
1. InformthefrontdeskandtheOwner.
2. CompleteandsignawithdrawalformprovidedbyIntenCityDance.’’
3. ReturnsignedwithdrawalformtotheOwnerinperson.
N. CANCELLATION OF PRIVATES
You may cancel and/or reschedule any privates within 24 hours. You may cancel by contacting the Front Desk, Instructor, Director, or Owner. Same day cancellation is a 50% charge. No call / No show is 100% charge.
O. HOLIDAYS
Our lesson schedule does not follow the school calendar. Lessons will not be held on: New Year’s Eve, New Year’s Day, Memorial Day, 4th of July, Labor Day, Thanksgiving Eve, Thanksgiving Day, Christmas Eve, and Christmas Day.
For School vacations such as, Christmas break and Spring break, regular classes will be closed. Please be prepared all company rehearsals will continue over such breaks.
P. GENERAL EXPECTATIONS
1. Forthestudent’ssafety,nooneisallowedinanystudiowithoutateacheror without permission from the Owner.
2. Nofood,drinkorgumintheclassrooms.Onlywaterisallowed.
3. No running or horseplay anywhere in the building.
4. Nostreetshoesonthedancefloors.
6|Page

5. Parentsmustnotifythestudioiftheirchildwillnotbeattendingclass.
6. Do not leave anyone, especially children, unattended in waiting areas.
7. Arriveontime,orearly,andpreparedforclasses.Pleaseallowafewminutesfor
your child to adjust from their previous activity to the dance studio. We respect that everyone has a schedule. Please respect ours. Please make sure your child is there 15 minutes prior to the start of class to stretch their muscles.
8. Missed lessons should be made up in a same or lower level class. (Unless otherwise specified, on an individual basis.) Classes do not have to be made up in the same style of dance, if one is not available. Experimentation is encouraged. Please contact the office when making up a class.
Q. GENERAL STUDENT EXPECTATIONS
1. Students will help their parents out by being ready to go to class by the time parents are ready to leave their home.
2. Studentsshowrespectforthemselvesandothersbybeingdressedappropriately for class, such as:
A. No jewelry, other than small earrings
B. Shoestringsshouldeitherbetuckedinortiedinaknotandcutoff.
C. Please do not wear underwear under girls’ leotards when wearing tights.
(Traditionally tights act as underwear. Wear underwear when not wearing
tights in the warm weather.)
D. Student’shairistobepulledupofftheneck.For6-yearoldandunder,a
bun is preferred.
3. Studentsshowrespectforothersby:
A. Keeping their hands to themselves during class.
B. Waitingquietlyforotherstohaveaturn.
C. Waitinguntilthemusicisfinishedbeforeenteringtheclassroomifthey
are late to class.
D. Notborrowingitems,cashorothervaluableswithoutpermissionfromthe
Owner of the item(s).
4. Dancersshowrespectfortheirteacherandtheartformtheyarelearningby:
R.
A. Beingproperlydressedandreadyforclassontime.
B. C. D. E. F. G. H. I. J.
Listening when the teacher speaks. Whensittingonthefloor,sittingcrisscrossstylewithbackupstraight. Beingpreparedfortheirturn. Alwaysaskingbeforeleavingtheroomforanyreason. Applaudingtheirteacherattheendofclass. Donotbringinggum,drinksotherthanwater,orfoodintotheclassrooms. Never hanging on the barres.
Discarding trash in the proper places. NEVERtouchingorhittingthemirrors,averyimportantsafetyissue.
GENERAL EXPECTATIONS OF PARENTS
1. Parentsshowrespectforthedanceclass,teacher,andstudioby:
A. Knockingbeforeenteringtheclassroom,ifaclassisinprogress. B. Pickingstudentsuppromptlyafterclass.
C. Makingappointmentstomeetwiththeteacherifaconversationis
expected to exceed more than a few minutes.
Please make sure that your child goes to the bathroom right before you leave home. This will ensure that your child will not miss out on valuable lesson time while they’re in the bathroom.
7|Page

Please give your child the space and freedom to explore dance on his/her own. If your child has problems separating from you, that is usually a good sign that your child should most likely wait 6 months to a year before they enroll in dance lessons.
Proper hygiene is essential in all aspects of life. It is very hard to approach a child or parent about a lack of cleanliness or a foul body odor. However, in a dance studio where activities induce sweat and children are moving through the space, odors can become a terrible distraction and an embarrassment for the child, should a classmate be insensitive and say something out loud. To avoid these problems, please be sure all dancewear is laundered after each wearing; hair should be clean and pulled back properly, and deodorant should be a consideration for all students age 7 and up for dance class. Please, NO PERFUME prior to class as this will cause a terrible odor, as well as aggravate allergies of other students.
S. DRESS CODE
Girls
COMBO – The combo classes require leotard and tights. Underwear is not necessary when tights are worn. Underwear is necessary when tights are not worn. Pink ballet shoes and black tap shoes are required.
BALLET – Black leotards are required. Ballet pink or theatrical pink tights are required and pink ballet shoes. Teens and adults have permission to wear solid colored unitards. T-shirts and other cover-ups are not allowed. Tube socks are not allowed. Shorts are not allowed. A sweater may be worn at the beginning of class to warm-up in during the cold winter months.
TAP, JAZZ, LYRICAL, PRE-DANCE, & ALL OTHER – Modest dancewear such as leotards, tights, sweatpants, and skirts. Street clothes and/or baggy clothes are NOT permitted. Make all dance apparel purchases from a retail store which stocks those brands that are acceptable for the proper and modest dress for dance studies. Off-brands often do not fit properly and can be a source of pain and frustration. A cover-up should be worn entering and leaving the studio no matter what the season or weather. Never wear dance shoes outside.
HIP-HOP – Baggy clothes are permitted in this class. Absolutely no jeans!
Boys
Black tights, non-baggy shorts, or sweatpants, white or black ballet shoes, white socks, T-shirt. No baggy shirts.
If you have further questions, please direct them to any staff member working in the office.
T. DISCLAIMERS
Release of Liability
As the legal parent or guardian, I release and hold harmless Intencity Dance, its Owners and Operators from all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Intencity Dance.
8|Page

Medical Emergency
The undersigned gives permission to Intencity LLC, its Owners and Operators to
seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental problems, restrictions, or condition and/or declare the participant to be in good physical and mental health.
Payment Information
Tuition is due by the first of each month. If accounts are paid after the 5th of the
month, there will be a $10.00 late fee applied to the account balance. There is a $40.00 returned check charge for any checks returned by the bank. We offer a discount for those that are on monthly automatic payments. Please see the front desk to make payment arrangements.
U. Acknowledgement of Understanding
The Participant and Parent(s) or Guardian(s) have read this waiver of liability and indemnification agreement and fully understand its terms. The Parent(s) or Guardian(s) understand that Participant is giving up substantial rights, including the right to compensation for injury resulting from ordinary negligence. The Participant and Parent(s) or Guardian(s) acknowledge that you are acknowledging the agreement freely and voluntarily and understand your reading of this disclaimer is a complete and unconditional release of liability to the greatest extent allowed by law. In acknowledging this waiver of liability as Parent or Guardian, you agree that you are consenting to the Participant’s participation at Intencity LLC dba Intencity Dance and acknowledge that you agree that all risks, including that of ordinary negligence, whether known or unknown, are expressly assumed by the Participant and Parent or Guardian and all claims, whether known or unknown, are expressly waived in advance.
IntenCity Dance reserves the right to terminate lessons to any student without notice. In such a case a refund for unused lessons will not be given IntenCity Dance reserves the right to change policies as needed. Students will be notified of changes when they occur.
Default
• Please read, initial and sign in the space provided below:
If you’re in default more than forty-five (45) days you will not be permitted back into the studio. All payment arrangements must be made in advance on your account, before your balance reaches two (2) times your tuition. These arrangements are solely situational. You will only be allowed twice within the year before Participant is suspended. You’re expected to stay current on all financial obligations. These expenses include but are not limited to costumes, conventions, competitions, tuition, music, room rentals, travel and recital fees. If your dancers account is in default 30 days before competition, you won’t be allowed to compete.
Non-Disclosure Agreement
I, , hereby agree to not disclose any information obtained in the dance year. All financial adjustments, scholarships, monetary payments both drafted or verbal will not be discussed through third parties or within the confines of IntenCity. For this would be a
9|Page

breach of contract with IntenCity LLC and will be handled as such at Owner’s discretion.
Tax Disclosure
________ All taxable items upon purchase will incur State Sales Tax. All credit card transactions will be charged a separate fee. These are non-negotiable fees and must be paid upon purchase.
We, the staff at IntenCity Dance, recognize our obligation to make sure our students and their parents are aware of the risks and hazards involved in the sport of dance. By signing this waiver, you release, IntenCity Dance and all its employees from all claims on account of any injury which may be sustained by you or your child while attending any dance class, event, or outside performance. In signing this waiver, you also acknowledge your responsibility in paying monthly tuition, any associated costumes, entry fees for performances or competitions, and all other communicated costs involved. You also affirm you now have and will continue to carry proper primary medical, health, hospitalization, and accident insurance, which you consider adequate for the protection of both your child and IntenCity Dance. I give permission to take photographs/videography of the students to use in brochures, web sites, advertisements and other promotional materials the studio creates.
The signature below signifies that I have and agree to the attached policies and authorize IntenCity Dance to charge my credit / debit card any open balance on the 7th of each month.
Signature: ______________________________ Date: ______________ Owner: Date: ______________
10 | P a g e

All About the Dancer
Name: _______________________________ Birthday: ____________________________ Favorite Color: _______________________ What’s your favorite Style of Dance and why? ________________________________
Other activities or clubs involved in? __________________________________
Where do you want to take dance? Career, Fun, etc., and why? ____________________________
What school do you attend and favorite subject? _________________________________
What would you like to be as an adult? __________________________________
What would you like to achieve by taking dance? __________________________________________________ ________________________.
What would you rate your confidence level on a scale of 1-10 and why? __________________________________________________ __________________________________.
From this year to the next what would you like to progress in as a dance style or technique improvement? __________________________________________________ ___________________________
11 | P a g e

Credit Card Authorization Form *Please complete all fields.

BILLING INFORMATION
ADDRESS:
CITY, STATE, ZIP:
PHONE #
EMAIL

CREDIT CARD INFORMATION
☐ MASTERCARD ☐ VISA ☐DISCOVER ☐ AMERICAN EXPRESS ☐ OTHER
CARDHOLDER NAME:
CARD NUMBER:
EMAIL
EXPIRATION DATE: (MM/YYYY)
SECURITY CODE & BILLING ZIP

I, , authorize Intencity, LLC to charge my credit card above for agreed upon purchases. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company, so long as the transaction corresponds to the terms indicated in this form.

Customer
Signature Date

12 | P a g e