New Student? ___________________________________________________     

                                       
Student’s Name(s) _______________________________________________
                                                                                                                                                              
Birthday(s)   ____________________________________________________

                                     
Age(s) _________________________________________________________


E-Mail Address __________________________________________________   
                                                                            

Address ________________________________________________________


City___________________________State____________Zip ______________
                       

Parents or Guardian Names ________________________________________                                                                                                   
________________________________________________________________

Driver License Number _____________________________________________
(of Parent or Guardian for Check Writing)

Telephone:  Home _____________________________
                                                       
                  Cell    _____________________________ 
                                                 
Years of Training __________________________________________________   
  
                           
Male ___________________  Female ________________________ 


 Indicate any physical or learning disability _____________________________
(to aid in the proper teaching of student)                                                                                                                                                                                                                                                                         
I have read the rules of the school and am willing to cooperate and abide by these rules.
(See below for studio rules)


__________________________________________________________________
Signature of parent or guardian                                        Date

List classes you wish to register for below...                                                              
Student’s Name             Day               Time                  Class                    Fee   

1._________________________________________________________________

2._________________________________________________________________

3._________________________________________________________________

4._________________________________________________________________

5._________________________________________________________________

   
Total Fees from class or classes  (see tuition fees below) $ _________________ 
                             
Check #  _____________________      Amount Enclosed $ _________________  
                             
Mail to or drop off at:  1909 S. Plum Grove Rd., Palatine, IL 60067                    
For more information please call: 847-359-3903 ……………………………………………………………………………………………………………………………………………. 

1. Please mail in registration application PLUS first tuition payment as soon as possible
   or register at the studio. 

2. Register early for your choice of class time. 
    You will be notified only if a class is filled. 

3. Classes start the week of AUGUST 29, 2011. 
 
4.Tuition Information: 
    *(40 week session – Sept thru June)  
    *Full one hour class  per week - $50.00 per month. 
    *A student taking 2 or more 1-hour classes per week receives a 10% discount.
    *Family Plan:  Three or more Students per family receive a 10% discount.
    *Unlimited Classes:  $225.00 per month.
    *Thera Band & Step:  $ 5.00 per class (class card available)
    *Zumba & Yoga: $10.00 per class (class card available)
    *TUITION IS DUE THE FIRST LESSON OF EACH MONTH.

5. Private Lessons:  Arranged through Studio and approved by director.
 
6. MISSED LESSONS ARE NOT EXCUSED. 
   They may be made up by appointment only. 
   Make up lessons may NOT be used in place of tuition or made up
   after withdrawing from the Dance School.  

7. AUTOMATIC $30.00 BANK CHARGE FEE FOR ANY RETURNED CHECK,
   REGARDLESS OF REASON, NO EXCEPTIONS! 
 
8. STUDIO RULES AND ETIQUETTE
*Be On Time - Arrive 15 minutes before class time.  This will allow ample time to get ready.  
*NO SMOKING, NO GUM CHEWING, NO FOOD, NO DRINKS, NO CAMERAS.
*Studio Phone is a business phone not a public phone (please ask to use in emergency only).
*Store your belongings in designated area.
*Chairs are intended for waiting guests to sit on, not for coats, dance bags, etc. 
*The school cannot be responsible for lost, missing articles or personal injury. 
*Take purse, money and valuables in the studio with you. 
*Put your name on your ballet, tap & jazz shoes & all personal items. 
*Quiet in the waiting area is essential.  It is very hard for the teacher to get
the complete attention of the students when there is noise in the background. 
*Diapers, we do not have the facility for dirty diapers, take them home with you please. 
*Regular attendance reflects dance performance.
*Parents, please pick up students after class ON TIME!

10. Classroom Attire
The studio does not have a set dress code but for recommended attire
please call the studio at 847-359-3903 to inquire. They will be able to assist you
appropriately depending on the teacher and discipline you will be taking.
We also have a small boutique located at the studio with a limited selection of
sizes for your basic needs.