JWSD Windsor Online Registration

Registration

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Registration for JWSD Windsor Park Location at 5811 Berkman Drive #117 Austin, Texas 78723

* 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

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

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

T-Shirt Size

School*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

To register for dance classes click the search button, click the drop box and click sessions. The recommended age group of classes for your dancer should be displayed. Please select a class from the list displayed. If you have any trouble selecting a class simply add a note in the "comments" section as to what class you wish to enroll for and push the registration through and we will resolve the issue.

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

T-Shirt Size

School*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

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

T-Shirt Size

School*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

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

T-Shirt Size

School*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

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

T-Shirt Size

School*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Tuition Notice

I understand that tuition is due monthly on the 1st of the month, and that JWSD requires a credit or debit card placed on file with my account at the time of registration and that the session registration fee will be processed upon enrollment. We accept Visa, Mastercard and Discover debit or credit cards. You can pay online through the parent portal or request to be placed on monthly auto-pay processed on the 1st of the month. On the 9th of the month all unpaid tuition will be processed with the billing information on file. Any account with unpaid monthly tuition will receive a late fee of $20 on the 12th of the month. The late fee is non-refundable.

I've read the above and agree.

Drop Notification Protocol

I understand that my dancer is automatically enrolled for the entire session. From the start month through the class end date. Notice of a drop must be given to Kristy Willett via email 30 days before the 1st day of your child's last month. Failure to do so will result in continued tuition fees.
email: jwsd.dance@gmail.com

I've read the above and agree.

Media Release

I understand and acknowledge that my child may be videotaped or photographed for education and performance purposes and that we do use photos and videos on our JWSD website and JWSD facebook page and other forms of social media.

I've read the above and agree.

Medical Release

In consideration of the benefits of instruction by JWSD for my child, I, intending to be legally bound, do hereby enroll my child in the program and do hereby waive claims and release finally JWSD, Joyce Willett, Kim Willett, Kristy Willett and staff members, instructors and other personnel from claim or liability from any injury or sponsored activities either on or off the premises.

I do authorize emergency first aid care to my child by the school in the event he/she becomes injured or ill during instructional program or incidental sponsored activities either on or off premises. If the parents and or guardians are not immediately available I further authorize the JWSD instructors and/or staff, Kristy Willett, Kim Willett, or such agents that they may authorize to retain the services of a doctor or other competent medical person in order to treat the said minor.

I've read the above and agree.

Contract Agreement

I do acknowledge that I have read all the registration materials and this contract and agree to comply with all JWSD policies.

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*