Summer Dance 2020 Registration
Questions marked by * are required.
1. Child's Name(s) (First, Middle, Last)
2. Date(s) of Birth: (mm/dd/yy)
3. Dancer's current age(s):
4. Dancer's Grade(s) in 9/1/2020:
5. Street Address:
6. City, State, Zip
7. Guardian Name (First, Last):
8. Guardian's Relationship to Dancer:
9. Guardian's Home Phone Number:
10. Guardian's E-Mail Address:
11. Guardian's Cell Phone Number:
12. Name and cell phone number of people other than guardian(s) who may be bringing your child to and from dance class:
13. Injuries: Please list any injuries or operations your child has or had that may limit their ability to participate fully in class: If none - type: NONE
14. Please choose your class(es):
  • TUMBLING II-Tues-2-3PM
  • BALLET I-Tues-3-4PM
  • TECHNIQUE & JAZZ I/II-Tues-4-5PM
  • BALLET II-Tues-5-6PM
  • WEE DANCE-Thurs-1-2PM
  • BALLET/TAP COMBO-Thurs-2-3PM
  • HIP HOP I-Thurs-3-4PM
  • HIP HOP II-Thurs-4-5PM
15. Please indicate your preference:
  • We are signing up for the entire 10 week session
  • We are signing up by the week
16. Which day are you signing up for classes:
  • Tuesday
  • Thursday
  • Both
17. If signing up by the week - please choose your weeks:
  • Week 1: June 1 – 5
  • Week 2: June 8 – 12
  • Week 3: June 15 – 19
  • Week 4: June 22 – 26
  • Week 5: June 29 – July 3
  • Week 6: July 6 – 10
  • Week 7: July 13 – 17
  • Week 8: July 20 – 24
  • Week 9: July 27 - Aug. 31
  • Week 10: Aug. 3 – 7
18. If you have additional information in regards to the classes you are enrolling for please indicate it in the box below:
19. Payment Information – One class is $15/week (25% discount for additional classes). If paying in advance for all 10 weeks the cost is $125 (25% discount for additional classes).
  • Please charge my credit card for the session/weeks I have signed up for
  • I will pay by PayPal using the link on the 'Summer Dance' page on the website
  • I will call in my payment (note: a place in class will not be held until payment is made)
20. If paying by credit card please provide the credit card number:
21. Expiration date (mm/yy):
22. CVV code (on back of card):
23. Billing Zip Code:
24. STATEMENT: I hereby certify that my child named herein is in normal health and capable of safely participating in this summer dance program. I indemnify and hold harmless Ave Maria Dance Academy its owners, volunteers or employees and all involved with this program from liability for any harm that befalls my child as a result of his/her participation in this program. I understand that there are no refunds, credits, extensions, pro-rates or transfers of summer dance tuition.
  • Please acknowledge your understanding and acceptance of the above liability waiver by checking this box.
25. Parent/Guardian Signature: (please type your name in the box below)
26. Please type any comments or questions you may have into the box:
27. Ok! That's it - you are all set - hit submit and wait a couple of seconds for the submission confirmation to appear on the screen!
  • Ok