Dance Fusion of Harrisburg LLC Online Registration

Registration

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Welcome to Dance Fusion of Harrisburg! We're thrilled that you're here and we can't wait for you to join our family! Please complete the following registration form.

* 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 *

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

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*

School

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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*

School

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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*

School

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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*

School

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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*

School

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

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

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Release of Liability

I agree that Dance Fusion of Harrisburg and its' employees shall not be held responsible for any accidents, injuries or loss of property that may occur while attending or participating in any classes affiliated with Dance Fusion of Harrisburg. In the case of an emergency, if I cannot be reached, I authorize Dance Fusion to call 911 for immediate medical attention.

I've read the above and agree.

Withdrawal Policy

If you choose to drop a class after the 1st of the month the current month's tuition will be due in full.
All "drops" must complete Drop/Add Form at the front desk.
If you choose to add a class, you must complete Drop/Add Form at the front desk. Tuition will be adjusted accordingly.

I've read the above and agree.

Additional Policies

Dance Fusion will not close for teacher workdays.
In the case of inclement weather, please refer to our website if you have not received other notifications.

Students will only be offered a make-up class if the regular dance class is cancelled on Dance Fusion's behalf.
Make-up classes will not be honored for inclement weather or due to any absence on the student's behalf.

Please take the time to put your child's name in his or her dance shoes as to eliminate any mix-ups or lost belongings.
Dance Fusion and its' employees will not be held responsible for items misplaced or left in the dance studio, reception, bathroom, or office areas.

Supervision, in our lobby, is the parent's responsibility before and after class times.
Please be prompt in picking up and dropping off your dancer.

I've read the above and agree.

Photo/Video Release

I hereby grant permission to Dance Fusion of Harrisburg, LLC to use photographs and/or video of my child taken during classes, rehearsals, or outside performances in publications, news releases, online, marketing campaigns, and in other communications related to the mission of Dance Fusion of Harrisburg, LLC.

I've read the above and agree.

Dress Code

Dance shoes can be purchased at The Sock Basket located at 9200 Harris Corners Pkwy, Charlotte, NC 28269.
Dancewear can be purchased at Academy Sports, Target or The Sock Basket.

HAIR MUST BE SECURED OUT OF FACE FOR ALL DANCE CLASSES.

• Pre-dance:
Any color dance leotard with pink tights.
Pink ballet slippers.

• Ages 4-5/6-8 Combination Class:
Any color dance leotard with pink tights.
Ballet skirt and dance shorts optional.
Pink ballet slippers.
Tan tap shoes with buckle.

• Ages 9-11 Ballet/Jazz Combination Class:
Any color dance leotard with pink tights.
Ballet skirt and dance shorts optional.
Pink ballet slippers.
Tan jazz shoes (slip on, bootie style).

• Ages 12 & Up Lyrical/Jazz Class:
Any color dance leotard (or sports bra) with dance shorts or jazz pants/leggings.
Tights optional.
Tan jazz shoes.

• Ages 9-11/12 & Up Tap Class:
Any color dance leotard with dance shorts or jazz pants/leggings.
Tights optional.
Black "lace up" tap shoes.

• Ages 9-11/12 & Up Hip-Hop Class:
Loose fitting dancewear/clothes.
ALL Black Sk8 High Vans (high tops).

• Ages 12 & Up Ballet Class:
Any color dance leotard with pink tights.
Ballet skirt/dance shorts optional.
Pink ballet slippers.

• All Acro Classes:
Fitted top and bottoms, leotard, or short unitard.
Bare feet.

*Purple/Green Team Jazz & Lyrical/Contemporary Classes:
Any color leotard (or sports bra) & any color jazz shorts or leggings.
Black or Tan Jazz shoes.

*Purple/Green Team Ballet Classes:
Black leotard, pink tights & optional ballet skirt.
(No jazz shorts permitted.)
Pink ballet slippers (pointe shoes if dancer is en pointe).

I've read the above and agree.

Summer-General Policies

-Summer tuition will be posted on the 1st day of the month of the registered class and/or camp. Tuition is due on the first day of your child's class or camp. If fees have not been received by the end of the day on the first day of your child's class or camp, the full tuition amount will be processed to your card on file.

-There is no registration fee if registering for Summer classes/camps ONLY.

-If you are registering for a Summer CAMP, your registration will not be complete until you have paid a $25.00 non-refundable deposit (per camp). The deposit amount will be posted to you account once we have received your registration.

-All classes and camps run Monday-Thursday.

-Hair must be secured away from face.

-The studio will open 15 minutes prior to the start of the first class of the evening.

-Please bring a water bottle to class/camp.

-A snack will be provided for 3 hour camps.

-Dancers should be dressed appropriately for class/camp and bring necessary shoes.

-Dance wear & shoes can be purchased at The Sock Basket, Target, Wal-Mart or Academy Sports.

I've read the above and agree.

Payment Policy

Payment is accepted by Dance Fusion in the form of Cash, Check & MasterCard, Visa, Discover & Amex.

**2020-2021 season registration will NOT be complete until your $30.00 ($20.00 for each additional sibling) registration fee(s) has been paid. Once your online registration has been received, the registration fee will be processed to your card on file.

*POSTED vs PROCESSED: Posted=fee made available/viewable in your account on the Parent Portal. Processed=fee charged to your card on file.*

**For anyone registering BEFORE September 1, 2019 for the 2019-2020 season, your monthly tuition will automatically post to your account (you will not be charged) for the month of September. This way you will know, in advance, what your monthly tuition will be for the season. However, the first month of tuition it is not due until September 1, 2019.

Monthly tuition payments will be posted to your account on the 1st of every month. Payments not received by the 15th of the month will be processed to your card on file with an additional $15.00 late fee.

Any additional fees will be posted to your account in advance. If fees have not been paid prior to their due date, full amounts due will be processed to your card on file ON their due date.

Tuition payments are due on the 1st of each month, September-May.

Payments not received by the 15th of the month will be considered late and will incur a $15.00 late fee.

Tuition is never pro-rated for missed classes or closed dates.

Tuition is a yearly fee split into equal monthly payments for our customers' convenience.

There will be a $25 returned check/NSF fee.

Payment for tuition and other fees will be collected on the 1st of each month by the credit card on file.

A recital costume fee ($75-$100 per class/costume) will be due no later than December 12th.

A recital participation fee of $60.00 ($30.00 for each sibling thereafter) will be due no later than March 12th.
This fee will cover the cost of one (1) recital t-shirt & two (2) tickets to the end of year recital.

Payments made towards monthly tuition, recital costume fees, and/or recital participation fees are non-refundable.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

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Payment Information

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

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City

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Zip*