photo29photo30photo31photo32photo33photo34photo23photo28photo24photo26photo25photo27photo11photo10photo17photo12photo13photo14photo15photo16photo19photo18photo21photo20photo22photo9photo7photo8photo2photo1photo3photo35photo36 FollowFollow Registration Form Welcome to Sarah's Dance Studio! We are thrilled to have you here. Please complete the following registration form.Family InformationFamily Last Name* Your Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Email Address* Contact #1Name First Last Relationship to Contact?Select OneCaregiverFatherMotherGuardianSelfBest Way to Contact You?*Select OneEmailHome PhoneWork PhoneCell PhoneEmail Home PhoneWork PhoneCell PhoneContact #2Name First Last Relationship to Contact?Select OneCaregiverFatherMotherGuardianSelfBest Way to Contact You?*Select OneEmailHome PhoneWork PhoneCell PhoneEmail Home PhoneWork PhoneCell PhoneStudent #1Student's Name* First Last Student Gender*Select OneMaleFemaleStudent's Birth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Cell Phone #T-Shirt Size*Select OneYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLargeSchool* Grade Level (2022-2023 School Year)* Special Needs?Leave blank if NONE Allergies?Leave blank if NONE Regular Dance Classes (Grade 2022-2023 school year)* Preschool (3 year old) Preschool (4 year old) Junior Kindergarten Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Boys Class Add On ClassesStudent must sign up for a regular class to take the add on classes.Hip Hop 3rd – 5th Hip Hop Class 6th – 8th Hip Hop Class 9th – 12th Hip Hop Class Pointe Class 8th Grade Pointe 9th Grade Pointe 10th Grade Pointe 11th Grade Pointe 12th Grade Pointe HiddenStudent #2Add Another Student? Yes Student #2Student's Name* First Last Student Gender*Select OneMaleFemaleStudent's Birth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Cell Phone #T-Shirt Size*Select OneYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLargeSchool* Grade Level (2022-2023 School Year)* Special Needs?Leave blank if NONE Allergies?Leave blank if NONE Regular Dance Classes (Grade 2022-2023 school year)* Preschool (3 year old) Preschool (4 year old) Junior Kindergarten Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Boys Class Add On ClassesStudent must sign up for a regular class to take the add on classes.Hip Hop 3rd – 5th Hip Hop Class 6th – 8th Hip Hop Class 9th – 12th Hip Hop Class Pointe Class 8th Grade Pointe 9th Grade Pointe 10th Grade Pointe 11th Grade Pointe 12th Grade Pointe Required Policies and AgreementsWaiver and Release Policy*I agree that Sarah Sonnenschein dba Sarah’s Dance Studio along with employees shall not be liable for any injuries, damages, or losses sustained by me or my child/children which are in any way related to their participation in activities sponsored by Sarah’s Dance Studio. I assume risks and accept full responsibility for any injuries, damages, or losses my child/children may incur in connection with my decision to exercise my permission to participate in Sarah’s Dance Studio. I agree to release Sarah’s Dance Studio from any liability due to my child’s/children’s participation in the program. As a parent or legal guardian on the student’s listed above, I understand the waiver and release and am in full acceptance of the conditions written therein. I hereby state that I am freely allowing my child/children listed above to participate in Sarah’s Dance Studio. I agree to the waiver and release policy.Late Fee Info*Tuition is due by Quarter and is due on the first day of October, December, February and April in the form of cash or check (payable to Sarah’s Dance Studio). Tuition is considered late if not received by the 2nd week of the quarter, in which a $10.00 late fee is applied. A $20.00 fee will be applied for all returned checks. There are 4 dance quarters per year. Please understand that once a quarter begins, refunds and transfers are not permitted. I have read and understand the payment policies and agree to all information above. I agree to the Late Fee InfoParent Signature*I agree to all of the aboveQuestions or Concerns? Subscribe to Sarah's Dance Studio e-mail listJoin Sarah's mailing list to receive the latest news and updates. SUBSCRIBE! You have Successfully Subscribed!
