Registration Form

Registration Form for Summer Camps/Classes

*We encourage you to take the time to read in FULL the Policies and Procedures before starting your registration process, by following the link at the bottom of this page. Thank you.*

How did you hear about us? (required!)

Enrollment Status: (required!)

New Student
Returning Student

Student First Name: (required!)

Student Last Name: (required!)

Gender: (required!)

Female Male

Birthdate: (required!)

CANCELLATION POLICY: $50 is Non-Refundable for ALL cancellations. Please type
in "YES" to affirm that you have read this, in order to continue with registration. (required!)

Summer Camp: $50 deposit upon registration-Balance due July 1

Ages 3-4: July 5-9: 9am-12pm: $175
Ages 5-6: July 5-9: 1 pm-4pm: $175
Level 1: July 12-16: 9am-4pm: $275
Level 2 & 3: July 19-23: 9am-4pm: $275
Level 4 & 5: July 26-30: 9am-4pm: $275

Musical Theatre Camp: $50 deposit upon registration-Balance due June 1

Ages 7-18 June 28-July 2 9:00-4:00 $275

Summer Classes-6 week Session: June 28-August 6-Balance due upon registration

Ages 3-4 Pre-ballet/tap Mon. 4:15-5:00 $80
Ages 5-6 Pre Ballet /Tap Mon. 5:00-6:00 $80
Ages 7-12 Level 1 Ballet, Tap, Jazz Mon. 6:00-7:30 $110

Address: (required!)

City: (required!)

Zip: (required!)

Contact Name (required!)

Relationship: (required!)

Home Phone: (required!)

Cell Phone: (required!)

Email (required!)

Bank Account Type (If applicable)

Checking Savings

Credit Card (If applicable)

(required!)
Consent and Release: As student/ legal guardian of student named above, I give my permission for his/her involvement in activities, performances including off campus events of Dance Academy of Mansfield. Parents, legal guardians of minors, students and adult students waive the right to any legal action for any injury sustained on school property resulting from dance activity or any other activity conducted by students before, during, or after class time. I consent to the use of any video images, photography, and audio recording, or any visual or audio reproduction that may be taken of the student during any class or event. I HAVE READ THE POLICIES AND PROCEDURES AND STUDIO ETIQUETTE (BY CLICKING ON THE LINKS AT THE BOTTOM OF THIS PAGE) FOR THE ACADEMY AND AGREE TO FOLLOW THEM.

I herby authorize Dance Academy of Mansfield to initiate recurring debit entries to my bank Account at the depository institution named and in the amount(s) and on the dates or days indicated.

*A $10 fee will be charged for ALL declined debit, credit, and automatic bank draft transactions. This includes expired expiration dates on credit cards.*

*Cancelation Policy: $50 is Non-Refundable for all cancellations.

This is a confidential agreement between you and Dance Academy of Mansfield and will be secure.
Policies and Procedures

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Policies and Procedures

Studio Etiquette