Stage I Dance Academy - Frankfort Online Registration

Registration

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Welcome to Stage I Dance Academy - Frankfort! 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 *

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

Student #1

Student's First Name*

Last Name*

Student Gender*

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

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

Enroll in Classes

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

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

Enroll in Classes

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

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

Enroll in Classes

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

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

Enroll in Classes

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

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

Enroll in Classes

Add Another Student

Required Policies and Agreements

Release of Liability

As the legal parent or guardian, I release and hold harmless KC Stahlhut Inc. dba Stage I Dance Academy, 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 KC Stahlhut Inc. dba Stage I Dance Academy, its owners and operators or in route to or from any of said premises.

I've read the above and agree.

Payment Policies

Registration fee is due upon registration.

Monthly tuition will be automatically billed to your card or bank account on file on the 1st of each month September-May. Semester tuition is due by the 1st lesson in August and the 1st lesson in January. Annual tuition is due by the 1st lesson.

Tuition is NOT automatically billed when you register online. You will be billed once we email or call to confirm your registration. Your fees will simply be posted to your account.

There is a $25.00 returned check charge for any checks returned by the bank.

If your account becomes delinquent by 3 months or more, your child(ren) will be dropped from classes and may not participate in Recital or any other performance opportunities.

I've read the above and agree.

Medical Emergencies

The undersigned gives permission to KC Stahlhut Inc. dba Stage I Dance Academy, 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. If an emergency arises I request that my child be transported to nearest medical facility.

I've read the above and agree.

Photography Release

I give KC Stahlhut Inc. dba Stage I Dance Academy permission to use my child's photograph for advertising and print purposes. This includes any photos taken during class, the waiting area, any outside event, etc.

I've read the above and agree.

Parent Communication

We believe that keeping the lines of communication open between staff, parents, and students is very important. Please make sure we have your correct email address on file and check our website on a regular basis for updates (www.stage1danceacademy.com). We will send out monthly emails with important details pertaining to your child's class. Please be sure to read the emails so you are up-to-date. Please feel free to contact the front desk with questions, compliments, or concerns.

I've read the above and agree.

Recital Costume Fees

--- Costume fee= $65.00 for child size and $75.00 for adult size costumes. Families set up for auto-bill will be automatically billed for their costume fee on November 20.
--- Those that pay semester or annual tuition must pay their Costume Fee by November 20.
There are no refunds given for costume fees once you've paid.

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

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number