2023 SUMMER DANCE
Questions marked by * are required.
1. Child's Name(s) (First, Last) *
2. Date(s) of Birth: (mm/dd/yy) *
3. Dancer's current age(s): *
4. Street Address:
5. City, State, Zip
6. Guardian Name (First, Last): *
7. Guardian's Relationship to Dancer: *
8. Guardian's Home Phone Number: *
9. Guardian's E-Mail Address: *
10. Guardian's Cell Phone Number: *
11. Name and cell phone number of people other than guardian(s) who may be bringing your child to and from dance class:
12. 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
13. Please choose your class(es): *
  • BALLET I (ages 6-10) Tues 4:30-5:30PM
  • JAZZ I/II (ages 6+) Tues 5:30-6:30PM
  • BALLET II (ages 11+) Tues 6:30-7:30PM
  • POINTE Tues 7:30-8:30PM (June 6, 13, 20, 27)
  • WEE DANCE (ages 3 & 4) Thurs 4:30-5:30PM
  • BALLET/TAP (ages 5 & 6) Thurs-5:30-6:30PM
  • HIP HOP I/II (ages 5-11) Thurs 6:30-7:30PM
  • POINTE Thurs 7:30-8:30PM (June 8, 15, 22, 29)
14. Which day are you signing up for classes: *
  • Tuesday
  • Thursday
  • Both
15. If you have additional information in regards to the classes you are enrolling for please indicate it in the box below:
16. All classes must be paid for up front – whether you are registering for the entire 8 week session or just certain weeks. Please indicate your preference: *
  • We are paying for the 8 week session(s)
  • We are paying for certain weeks
17. If signing up by the week - please choose your weeks:
  • Week 1: June 12 – 16
  • Week 2: June 19 – 23
  • Week 3: June 26 – 30
  • Week 4: July 3 – 7
  • Week 5: July 10 – 14
  • Week 6: July 17 – 21
  • Week 7: July 24 – 28
  • Week 8: July 31 - August 3
  • We are signing up for all 8 weeks
18. Summer Dance fees are non-refundable and we do not offer refunds or prorates for absences. At our discretion, we may issue a credit for future participation in our Summer Camp, Dance or Tumbling programs. Please click OK below to indicate your acknowledgement of this policy.
  • OK
19. If you are paying as you go - each class is $15. If paying for the 8-week session the total is $100 (a $20 savings) NOTE: Each class you choose is $100 for the 8-week session. *
  • Please charge my credit card for the weeks/session I have signed up for
20. Card Number:
21. Card expiration date (mm/yy):
22. CVV code (3 or 4 digit code on 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