Miss Kristy's School of Dance Online Registration

Registration

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Welcome to Miss Kristy's School of Dance! Please complete the following registration form. For multi-class and multi-student discounts, I will adjust fees before payment is processed.

* 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*

Contact #1

Contact #1 First Name*

Last Name *

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

Contact #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

T-Shirt Size

Use of photo allowed*

Please click on the Search button below, then choose the class.

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

Use of photo allowed*

Please click on the Search button below, then choose the class.

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

Use of photo allowed*

Please click on the Search button below, then choose the class.

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

Use of photo allowed*

Please click on the Search button below, then choose the class.

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

Use of photo allowed*

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Student Waiver

I, the undersigned parent/guardian, do hereby give permission for my son/daughter to attend and participate in dance classes, rehearsal, performances and/or other activities conducted by Miss Kristy's School of Dance. Recognizing the risks of illness and injury inherit in any dance participation, the undersigned, on behalf of my child/ward, do agree to hold harmless Miss Kristy's School of Dance, its staff and volunteers from any and all injuries, cost, losses, damages and expenses (including attorney fees) or other liability arising from, related to, or connected with any injury, illness or damage caused by or sustained in the course of any participation in classes, rehearsals, performances, or other activities conducted by or associated with Miss Kristy's School of Dance. By signing this agreement I understand and I agree to indemnify and hold harmless Miss Kristy's School of Dance, its staff and volunteers. I understand that my child/ward would not be permitted to participate without making this agreement.

I've read the above and agree.

Summer Session and Camp Enrollment

There is no enrollment fee for Summer Session and/or Summer Camps. Your tuition payment will be processed shortly after enrollment. There are no refunds on Summer Session/Camp tuition

I've read the above and agree.

School Year Enrollment

The School Year registration fee of $10 (per family) will be processed shortly after enrollment. All enrollments will automatically be set up for auto payment. (Please see text below for more detail). Your first tuition payment will occur July 21st for August tuition, which is half price since we meet for only half of the month. If you do not want to have your tuition automatically deducted, you must contact Miss Kristy at misskristy72@gmail.com. All NON auto pay families will have a $5 fee added on to your monthly tuition payment.

I've read the above and agree.

School Year Payment Policy

All enrollments will be set up to have their monthly tuition automatically withdrawn from whatever payment method is on file. School year monthly tuition payments will be processed on the 21st of the previous month. (For example, September tuition will be deducted on August 21st) If dropping a class, it is your responsibility to contact Miss Kristy's School of Dance( via email) prior to the 21st. There are no refunds on tuition. If you DO NOT wish to have your tuition automatically withdrawn, please contact Miss Kristy via email. Cash or check payments are due by the first of the month and there is an additional $5 added on to the monthly tuition payment.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

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

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number