Next Step Broadway Online Registration

Registration

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Fields noted with a red asterisk are required

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name*

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Info*

Contact #1

Parent #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone *

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Parent #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

(format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Allergies

Clicking on the 'Register' link on the left of each row will allow you to register for the class. Wait List: If you are interested in registering for a class that is currently full (Openings show "0" and there's no "Register" link for the class) you can request to be put on a Wait List for the class. You can do so by either calling the office at 248-901-4454 or through the Contact Us page.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

(format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Allergies

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

(format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Allergies

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

(format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Allergies

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

(format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level

Allergies

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Payment Policies

I understand that Next Step Broadway's tuition for the 2018/2019 session is for the full year and split up into ten (10) equal payments from September through June: September (Month 1), October (Month 2), November (Month 3), December (Month 4), January (Month 5), February (Month 6), March (Month 7), April (Month 8), May (Month 9), June (Month 10)

I understand that a non-refundable and non-transferable tuition payment for September (Month 1) and June (Month 10) along with a non-refundable and non-transferable registration fee is due at the time of enrollment. I understand that there is a $20 Registration Fee for the 1st child, and $15 Registration Fee for the 2nd child and thereafter - to a $50 maximum per family.

I understand the full year tuition covers a minimum of 30 weeks of lessons for the full year.

I understand that all classes are scheduled more than 30 weeks for the year to accommodate for any weather closings, emergencies and class cancellations for any reason; and I understand that make-ups for classes will only be scheduled if the year falls below 30 weeks.

I understand that I will not receive any tuition proration, refunds, or credits for any classes missed during the year.

I understand that I must keep a credit card on file and I give permission for Next Step Broadway, LLC to charge my credit card the monthly tuition payment on the first of every month.

I understand that Next Step Broadway LLC will charge my account a $15 late fee if payment is not made by the 15th of every month.

I understand that if my account is still delinquent by the 21st of the month my child will not be able to participate in class until my account is current.

I understand that the Recital Fee is due on November 1st and I give permission for Next Step Broadway LLC to charge my credit card the recital fee. I understand that I must notify Next Step Broadway LLC in writing before November 1st if I wish to withdraw from class and understand that there are no refunds or credits for the recital fee. I understand that I must communicate in writing to the Studio Manager by October 15th if I would like to pay the recital fee in a different method. I understand that the recital fee is non-refundable and non-transferable.

I understand that if I register after December 1st that I will be subject to a $15 Shipping & Handling Fee for a recital costume.

SUMMER TUITION POLICY
There is a $20 Registration Fee for the 1st child, and $15 Registration Fee for the 2nd child and thereafter - to a $50 maximum per family. The registration fee is waived for current Next Step Broadway families who are enrolled in the 2017/18 dance season. REGISTRATION FEES ARE NON-REFUNDABLE AND NON-TRANSFERABLE!

There is a 5% discount for multiple classes, camps, and/or workshops. (cannot be combined with any other discounts and deals including the Early Bird Special).

You will receive 100% tuition refund less a $10 cancellation fee if written cancellation is received by MAY 1st, 2018. You will receive 50% tuition refund less a $10 cancellation fee if written cancellation is received By JUNE 9th, 2018. All cancellations must be in writing, either in the studio or via email (info@dancecitybirmingham.com). There are ABSOLUTELY NO REFUNDS AFTER JUNE 9th, 2018!

I've read the above and agree.

Credit Card Authorization

I authorize Next Step Broadway LLC to charge the credit card on file according to the terms outlined above.

I understand that my credit card will be charged monthly for tuition unless I cancel it prior to the first of the month, in writing.

I understand that I must notify Next Step Broadway LLC in writing prior to the first of the month if I choose to discontinue classes or wish to pay for those classes in another method.

I agree to notify Next Step Broadway LLC in writing of any changes in my account information or termination of this authorization at least 24 hours prior to the first of the month.

I understand and authorize Next Step Broadway LLC to charge my credit card a late fee of $15 if my account remains unpaid as of the 15th of the month. This includes non-payment due to expired or invalid credit card numbers on file.

I certify that I am an authorized user of this credit card and that I will not dispute the scheduled payments with my credit card company provided the transactions correspond to the terms indicated in this authorization form.

I've read the above and agree.

Release of Liability

As the legal parent, guardian or adult student, I release and hold harmless Next Step Broadway LLC, its owners and operators from any and all liability, claims, demands and causes of action whatsoever, arising out of or related to any loss, damage or indjury, 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 Next Step Broadway LLC, its owners and operators or in route to or from any of said premises.

I've read the above and agree.

Medical Emergency

The undersigned gives permission to Next Step Broadway 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 conditions and/or declare the participant to be in good physical and mental health.

I've read the above and agree.

Photo/Video Release

I hereby give Next Step Broadway permission to publish photographs taken of my child or children and their names and likenesses, for use in the Next Step Broadway's print, online and video-based marketing materials, as well as other Next Step Broadway publications.

I hereby release and hold harmless Next Step Broadway from any reasonable expectation of privacy or confidentiality for the child and children associated with the images specified above. Further, I attest that I am the parent or legal guardian of this child or children and that I have full authority to consent and authorize Next Step Broadway to use their likenesses and names.

I further acknowledge that participation is voluntary and that neither I, the minor child, or minor children will receive financial compensation of any type associated with the taking or publication of these photographs or participation in company marketing materials or other Next Step Broadway publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever.

I've read the above and agree.

Parent's Responsibility of Dates, Events & Policies

I understand that I am responsible for being aware of school activities such as recitals and dates Next Step Broadway is open and closed. I understand an online calendar is available through my Family Portal Account. I understand the studio may post notices in the studio and online on the website at www.dancecitybirmingham.com and may, on occasion, send out emails and/or newsletters containing school information. I understand it is my responsibility to keep contact information, such as email addresses, up to date with the studio office.

I understand that any important information will be found on my Family Portal.

I've read the above and agree.

Stay Connected

I understand that Next Step Broadway's main form of contact is through email. I understand that I can contact Next Step Broadway at anytime by emailing them at info@dancecitybirmingham.com. I understand that I am responsible to read Next Step Broadway's e-mails since they contain important information about my child(ren)'s classes and any other Next Step Broadway related information. I understand that Next Step Broadway has a Facebook page and that I can access my Family Portal account 24/7 as mentioned below.

Facebook: 'Like us' on Facebook! Next Step Broadway Michigan

Follow us on Instagram: nextstepbroadwayMI

Twitter: NextStepBwayMI

Snapchat: nextstepbway

Website: www.dancecitybirmingham.com (NEW Next Step Broadway Michigan website coming soon!)

Family Portal Login: The Family Portal allows online access to your account so you can make updates, pay your balance, register for classes, request changes, and see studio news updates 24/7! Virtually everything can be done through the Family Portal! http://dancecitybirmingham.com/familyportal.html

****Please note that we will occasionally have handouts for you and your dancers

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*