Registration

Welcome to Miss Mickey's Dancers! Please provide the information below and click submit when finished.

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Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
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Additional Info

Class levels are based on age but are somewhat flexible. Note: Continuing predance is generally for children who will go to kindergarten in the fall of 2017 and Kinderdance is generally for those who are currently in kindergarten. Please contact Miss Mickey if you have any questions regarding proper placement.

Enroll in Classes
Select Class
Required Policies and Agreements
I agree an annual enrollment fee of $15 per dancer and $20 per immediate family if registering more than one dancer, will be collected at the time of registration.

I am aware Miss Mickey's Dancers will send me an invoice via email at least 7 days prior to the beginning of the upcoming session (PLEASE DOUBLE CHECK THE EMAIL ADDRESS PROVIDED IN THE CONTACT #1 FIELD ABOVE). Tuition is due the 1st of every month. A late fee will be applied after the 15th of every month. You do not need to re-enroll every month. If you choose to withdraw after a session simply notify Miss Mickey. A $25 fee will be charged to all returned checks.

Tuition is due by the first of each month. Payments can only be made with cash or check. Checks should be made payable to "Miss Mickey's" When paying by cash please obtain a receipt. If accounts are paid after the 15th of the month, there will be a $15.00 late fee applied to the account balance. Payments may be placed in the tuition box at the studio or mailed to Miss Mickey's Dancers at 7933 39th Street, Lyons, IL 60534

I understand Miss Mickey's will not issue any refunds for any missed class nor early withdrawal during a session. Dancers are encouraged to complete a makeup class(es) in the event of an absence. Makeup classes should be taken within 30 of the absence if possible.

In the rare event a class may be cancelled due to inclement weather or other unforeseen circumstances, dancers may make up the class anytime throughout the year, simply choose a class in any equal level and age.

I understand if any of my contact information should change during the course of the school year, especially my email address, I will contact the studio to provide this new information for billing and mailing purposes.

All students are automatically pre-registered for the optional June 2017 dance recital. If the students listed do not wish to participate in the recital, I will notify the studio no later than March 1, 2017 by completing a recital non-participation form obtained from the office. I understand if I do not complete the form by March 1, 2017, I will be responsible for full payment of any and all costumes that have been ordered for my dancer.

I give Miss Mickey's Dancers my permission for the public display of pictures and or video of my child for possible advertisement purposes (i.e. brochures, newspaper ads, website, etc. - no names will be used).

I give my permission to Miss Mickey's Dancers, its owners and operators to seek medical treatment for the students listed above in the event they are not able to reach a parent or guardian. In the fields above, I have declared any physical/mental problems, restrictions, or condition and /or declare the participant to be in good physical and mental health.

As the legal parent or guardian, I release and hold harmless Miss Mickey's Dancers, 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 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 Miss Mickey's Dancers, its owners and operators or in route to or from any of said premises.

I Agree to All of the Above
Questions or Concerns