Registration

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NEW TO THE DANCING LIGHTS? PLEASE COMPLETE THE FORM BELOW TO CREATE A ACCOUNT.

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Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
(format=mm/dd/yyyy)
Additional Info

Please Note: There is a annual $25 Registration Fee per family.

Enroll in Classes
Select Class *
Required Policies and Agreements
I understand that I am registering myself or child(ren) for The Dancing Lights Ballet School. I am fiscally responsible for the monthly fee associated with the attendance of classes on a monthly basis. I am responsible for a non refundable annual registration fee ($25 per family). I understand if it is necessary to discontinue classes for any reason The Dancing Lights Ballet School requires two weeks notice. I understand two weeks tuition will be forfeited. If the suspension or absence of classes is for a medical reason,The Dancing Lights Ballet School requires a written medical explanation from a treating physician, and upon return may require a release to resume.

Upon registration online I will receive a confirmation email. This is an automated email and does not confirm correct placement. If I am a new student and have not received direction, the director or staff will email with placement confirmation. I understand once I've received a confirmation email first months tuition and registration fee is required.

I give permission for the card on file to be charged the MONTHLY FEE due and Registration fee when applicable unless I otherwise notifiy the director via email.
Payments are based on the total number of hours of class enrollment, with each class meeting 36 times per year. As each month has the potential for a different number of classes, the tuition for 36 weeks is divided into 9 equal payments. The session begins on Monday, September 19th and is completed on Monday, June 17th.

I understand all tuition payments are due by the 5th of each month from August (for Sept/ June) through April (for May). If tuition payments are received after the grace period (after the 5th of each month), a late fee of $15.00 will be applied to your account for which you are responsible. If monthly payments are in arrears for more than 30 days, the late fee will be adjusted to $25.00. If the account is in arrears for more than 60 days, students may be withheld from all classes until the account is made current. Please note in the case of financial or medical hardship financial arrangements for payment are considered by Miss Kristin regularly. Returned check fee is $25.

I understand acceptable methods of payment include cash (only when given to the director), personal checks made payable to The Dancing Lights Ballet School, Visa, MasterCard and American Express by the due date.

Automatic recurring monthly payments for credit cards are available. My card on file will be charged if I have not logged in and made a payment independently.
Should a credit card transaction be declined for any reason a late fee $15.00 will be assessed.

As the legal parent or guardian, I release and hold harmless The Dancing Lights Ballet School, 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 The Dancing Lights Ballet School, its owners and operators or in route to or from any of said premises.

Parent code of conduct on premises or any premises under management of The Dancing Lights staff requires a consistent message of the proper role of a parent in support of the environment, classroom, waiting room. I will be a positive role model for my child by encouraging respect and courtesy in demonstrating positive support for all students, teachers and parents. In showing respect and courtesy to all, I will privately discuss any discord.

The undersigned gives permission to The Dancing Lights Ballet School, 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. I request that our doctor/physician be called and that my child be transported to the nearest hospital.

I understand that Dancing Lights Ballet School may from time to time take photographs and/or video of the dancers enrolled on this form.

I, the parent/guardian authorize Dancing Lights to use such photographs and/or video for school use, social media and class pictures. Please contact us via email if you have specific concerns concerning this waiver. IN WITNESS WHEREOF, I have read and understand this waiver.

I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card