Registration

Registration
Child Name
Child Name
First Name
Last Name
Child Gender
Parent Name
Parent Name
First Name
Last Name
Receive Texts?
Alt. Parent Name
Alt. Parent Name
First Name
Last Name
Receive Texts?
Address
Address
City
State/Province
Zip/Postal
Emergency Contact
Emergency Contact
First Name
Last Name
(Class Name - Day of Week - Class Times)
Please list any limits, restrictions, disabilities, or medical issues that could prevent your child from fully participating at our dance studio. If your child is unable to fully participate on his/her own, you will need to provide an adult helper during class time, concert rehearsals, and dance concert.
I hereby register my child at Southwest Dance Company for the 2025-2026 school year. Tuition is due by the 5th of each month. A $15 late fee will be added after the 10th of each month. In case of suit or action is instituted to collect tuition or any other fees due to Southwest Dance Company, the below named promises to pay all collection costs and such additional sums as the court may adjudge reasonable such as court costs, attorney fees, service of process, etc. in said suit or action. I agree to pay an annual family registration fee of $45.00 per family per year due upon registration. If my child discontinues classes at Southwest Dance Company for any reason, the registration fee will be forfeited. There are no credits or refunds for lessons missed. A written 30-day notice is required to drop a class, or tuition will continue to be billed to your student's account. I agree to pay the returned check fee of $30.00 for any check returned to the bank. I understand that pictures taken of my child(ren) while at Southwest Dance Company are the property of Southwest Dance Company and may be used for promotional advertising. RELEASE: I hereby release Southwest Dance Company and all staff officials from all claims of damages or injury suffered by the registered student in connection with their association with Southwest Dance Company. This includes my heirs, who may not act in my behalf. I have read and understand the terms of the above contract and the program information sheet and agree to abide fully by its terms.

I’m grateful for your service to my daughter.  She loves dance so much and you do such a wonderful job teaching her.  I can tell that she really is happy to be there and that she is learning to love the art of it.  She also loves the physical challenge and I’m grateful that your company provides her an uplifting and pure way of experiencing the beauty of dance.  I’m also grateful for your affordable tuition that allows us to enjoy your services.
Ethan D.

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