Soul II Sole Performing Arts Online Registration

Registration

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Welcome to Soul II Sole Performing Arts! NEW: Please complete Registration below & click Submit. All enrollments are considered pending until we have reviewed your submission & posted any fees due. *NOTE, you may choose to enter auto-payment information at the end of this form; your account will NOT be charged when you click Submit.* You will be contacted prior to being charged (physical signature must be on file for auto-pay).

* 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
(Not Contact #1 or #2)*

Health Insurance Carrier

Contact #1

Primary Contact 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

Who is your employer?

Employer

Employer Phone

Employer Notes

Contact #2

Secondary Contact First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

Student Email

School

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor*

Immunization Notes

Photo Release (Yes or No)*

Nickname

Please select a filter to find the classes in which you wish to enroll.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

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*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor*

Immunization Notes

Photo Release (Yes or No)*

Nickname

Please select a filter to find the classes in which you wish to enroll.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

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*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor*

Immunization Notes

Photo Release (Yes or No)*

Nickname

Please select a filter to find the classes in which you wish to enroll.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

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*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor*

Immunization Notes

Photo Release (Yes or No)*

Nickname

Please select a filter to find the classes in which you wish to enroll.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

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*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Primary Doctor*

Immunization Notes

Photo Release (Yes or No)*

Nickname

Please select a filter to find the classes in which you wish to enroll.

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Add Another Student

Required Policies and Agreements

Care of Students
I understand that Soul II Sole Performing Arts is not responsible for providing before or after care for students. Parent supervision is required. I hereby waive the right to any legal action for any injury sustained on Soul II Sole Performing Arts property resulting from dance activity or any other activity conducted before, during or after class time.

I've read the above and agree.

Assumption of Risk AND Liability Release
I understand that injury may occur in classes and/or performances of Soul II Sole Performing Arts. I agree to hold harmless and release from liability Soul II Sole Performing Arts (including the owner and instructors).

I've read the above and agree.

Monthly Payment Policy
Tuition (excluding tuition for standing private lessons) is due the first day of each month; private lessons are due the last day of each month. Tuition may be paid in person, through the Parent Portal, or by auto-pay (physical signature must be on file, forms are available in the studio). Monthly tuition payments made by the 5th of the month are rewarded with a $5 discount. Tuition fees unpaid by the 15th of the month are subject to the Late Fee Policy.

Monthly tuition as set out on the fee schedule is calculated first by the number of hours a single student takes, then by the number of hours in a family. For example, if a family has two students and one of them is taking a single one-hour class and the other is taking two one-hour classes, the first student's fixed fee is $60, and the second student's fixed fee is $90, making the total family fixed fee $150. Once a family's total number of hours reaches 5 hours, they qualify for family pricing discounts as set out on the fee schedule.

I've read the above and agree.

Additional Fees Policy
An annual enrollment fee is due at the beginning of the dance season (August, or June if student begins in summer session): $35 for one student, $55 for 2 students, or $75 for 3 or more students. Enrollment fees are non-refundable.

Costume fees, recital fees and/or competition fees are payable by the date designated by Soul II Sole Performing Arts. These fees unpaid by the designated due date are subject to the Late Fee Policy.

Private lesson (including semi-private instruction and voice/instrument lessons) fees are due by the end of the month during which the private lesson took place. Private lesson fees unpaid by the 15th of the month are subject to the Late Fee Policy.

Returned (NSF) checks will result in a $10 NSF fee.

Merchandise may be purchased in the studio and charged to your account. Merchandise charges are due immediately. Unpaid merchandise is subject to the Late Fee Policy.

I've read the above and agree.

Late Fee Policy
Monthly tuition payments not paid by the 15th of each month will be assessed a $15 late fee. If a student's tuition goes unpaid for 30 days from the original due date, that student may be suspended ("waitlisted") from attending class until payment is made. If a wait list exists or a new student enrolls in a suspended student's class, the student's spot may be filled by the first person on the wait list or the enrolling student.

Outstanding balances in May must be settled prior to students receiving their costumes. Students must have costumes to participate in recital.

Effective January 2016, any additional fees (i.e., costumes, recital, competition, merchandise, privates) unpaid by the 15th of the month following designated due date will be assessed an additional $10 late fee.

I've read the above and agree.

Drop Policy
A student wishing to drop a class will be dropped effective the date immediately following written notice received by Soul II Sole Performing Arts, and a prorated credit for the remainder of the dropped class for that month therein may be applied to your account only if the account is current at the time of the drop. Prorate/credit is not provided for student absences prior to the effective drop date, nor for scheduled holidays or inclement weather closings. I understand that if I wish to unenroll/drop a class, I must provide written notice to Soul II Sole Performing Arts and that if my account is not paid current, no prorate/credit will be applied for the month the class is dropped.

I've read the above and agree.

Statements
Statements are emailed on the 8th of the month only to customers with an outstanding balance. This is a courtesy reminder. A complete record of your account, including payments made, is always available through the Parent Portal.

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