|
|
 |
|
2008- 2009 Registration Form Form may be mailed,
faxed, or brought to the studio in person.
|
First Name of Student:
|
Last Name:
|
|
Parent's Name:
|
DOB of Student (mm/dd/yyyy):
|
|
Home Phone #:
|
Parent Cell Phone #:
|
|
Address:
|
|
City:
|
Zip:
|
|
Parent's Email:
|
Dancer's Email:
|
|
Dancer's Cell:
|
Prior Dance Experience? How Long?
|
|
Class Start Date:
|
|
|
Teacher (s):
|
Lesson day and time: 1.
|
|
How did you hear about us?
|
2. 3.
|
|
Any Medical Conditions we should be aware of?
|
4. 5.
|
|
Person Responsible for Payment (if other then Parent) Name and Phone #:
|
6. 7.
|
|
I and the student (if signing for a minor), have read and agree to the following rules and regulations of Broadway Rhythm
Dance Co.
|
|
- Read and agree to the B.R.D.C. Dance Agreement (available at B.R.D.C.)
- The
above party agrees to pay the monthly tuition at the first class of each month. Otherwise a $10 late fee will apply.
- I agree to take full responsibility for any injury sustained during the participation at Broadway Rhythm Dance Co.
performances, classes, recitals, and other B.R.D.C. related events.
- I consent that the student
may receive emergency medical care for any injury as a result of participation. All attempts will be made to contact
a parent prior to a call for emergency medical care. If no contact can be made, 911 will be called, if necessary.
(The cost will be the responsibility of the parent or guardian).
- Tuition is billed the same
each month, regardless of holidays. A dance agreement will be given at the beginning of the season stating dates B.R.D.C.
is closed for holidays.
- Tuition is due the 10th of each month or a $10 late fee will apply.
A bill will not be sent to you.
- Refunds will not be given for registration deposits or tuition.
- 30 day notice of withdrawl must be given in writing to B.R.D.C.
260 Parker Ave. Rodeo,
CA 94572 (510) 799 - 2177 Phone (510) 245 - 2177 Fax
|
|
Printed Name: Signed Name:
|
 |
Please call Broadway Rhythm for more information
(510) 799 - 2177
|
|
|
Fees and Registration:
Monthly Tuition
$45 a month, one class per week for 45 minute classes.
$50 a month, one class per week for 60 minute classes.
Multiple Class Discounts for Immediate Family Members
If taking 2 classes per week, take 10% off your tuition.
If taking 3 classes per week, take 15% off your tuition.
If taking 4 or more classes per week, take 20% off your tuition.
*Tuition is billed the same each month regardless of holidays.
*Tuition is due by the 10th of each month or a $10 late fee will apply. A monthly bill will not be sent to you.
*Refunds will not be given for tuition or on shoe returns.
*Make-up classes may be available. Call to find out if there is a class equivalent to yours.
*Classes scheduled are subject to change or cancellation.
--Every family is responsible for signing and agreeing to the studio policies.--
|
|
|
|
|
|
|
|
