|
|
|
|
| | |
|
|
Come join us for Summer Intensives Week 2 for our rising 9th- 12th grade dancers. This camp will be held June 12th- 15th from 4:30- 9:30 This will include ballet, tap, jazz, hip-hop, improv, and movement. The instructors will be: Nealey, Amanda, Kim, Tara, Lisa, Cindy, and Rae.
|
|
Event: |
|
|
Start Date/Time: |
End Date/Time:
|
|
Fee per Student:
|
Room:
|
|
* - denotes required fields |
|
Family Information |
|
|
|
| | | |
| | | |
|
Students entered below will be added to your family's account
|
|
Add New Student #1:
(Show-Hide Details)
|
|
Add New Student #2:
(Show-Hide Details)
|
|
Add New Student #3:
(Show-Hide Details)
|
|
Add New Student #4:
(Show-Hide Details)
|
|
Add New Student #5:
(Show-Hide Details)
|
| | | |
|
Questions/Options: |
|
|
| |
Does your dancer want to be evaluated for Jazz Company?* | |
Does your dancer want to be evaluated for Tap Company?* | |
Does your dancer want to be evaluated for Hip-Hop Company? * | |
| |
| | | |
|
Additional Information: |
|
| | | |
|
Assumption of Risk/Student Liability Release
(Show-Hide Details)
I hereby acknowledge that my daughter, son, and/or child for whom I have legal custody has voluntarily applied to engage in dance and dance-related programs and activities with Jackie O’Neal School of Dance. I understand I should be aware of my child's physical limitations and agree to inform the studio of such limitations. I understand that in participating in dance class, practice, intensives, rehearsal, performance, convention, competition or other dance activities there is a possibility of physical injury or death. I knowingly and voluntarily agree to assume all reasonable risks and responsibilities for any such injury or accident, which might occur to my child before, during, or after any Jackie O’Neal School of Dance or dance-related activity that my child has chosen to participate in. I further hereby knowingly and voluntarily agree to waive my rights and that of my heirs and personal representative(s) to hold Jackie O'Neal School of Dance its employees, faculty members, independent contractors, guest teachers and artists and/or students liable for such damage, loss, injury, or death.
I've read the above and agree.
|
|
|
Payment Policy
(Show-Hide Details)
Payments policies Payment is due prior to camp beginning on June 5th. Methods of payment: Cash, Check, Visa, MasterCard, American Express. Payments may be made online, at the office, or by mail. You may check your account online at any time. If at any time you would like a printed statement of your account you may request one. I understand that Jackie O'Neal School of Dance does not give credit and/or refunds for class(es) missed due to holiday, vacation, illness, weather, etc. Overdue balances procedure Any student with an overdue balance of more than 60 days will not be allowed into class until payment in full is received or payment arrangements have been made. If for any reason you decide to discontinue your classes, you are not obligated to pay for the balance of the school year, however you will be responsible for any balance due.
I've read the above and agree.
|
|
|
Social Media/Video/Photography Release
(Show-Hide Details)
For good and valuable consideration, I do hereby consent to the photographing of my child and the use of these photographs and/or recordings singularly or in conjunction with other photographs and/or recordings for advertising, publicity, commercial or other business purposes. I understand that the term photograph as used here encompasses both still photographs and video footage. By checking this box I hereby release Jackie O’Neal School of Dance and any of its associated or affiliated companies, their directors, and employees from all claims from every kind on account of such use.
I've read the above and agree.
|
|
| | | |
|
Other Questions/Comments: |
|
| | | |
|
Credit Card Verification: |
|
|
![](images/cc_visa.jpg) ![](images/blank.gif) ![](images/blank.gif)
|
|
|
Card Number: |
|
|
|
Name as it appears on card: |
|
|
Nickname:
|
|
|
Card Expiration Month: |
Exp Year:
|
|
|
Address Line 1:
|
Address Line 2:
|
|
City:
|
State:
Zip:
|
| | | |
| | | |
| eCheck/Bank Draft:
| |
|
Bank Name: |
| |
|
Bank Routing Number: |
(9-digit number)
| |
|
Your Account Name: |
(Your name on your bank statement)
| |
|
Your Account Type: |
Account Number:
| |
|
|
Please Wait...
|
|
| |