Richards School of Dance

Richard's School of the Dance Registration Form

2011 Fall Registration
Classes at Kohler Sports Core

There is a $25 per family (non-refundable) registration fee. (This registration fee covers all scheduling, admministrative paperwork, computer work, mailing and phone calls per student, etc.)
Lesson fees will be $78 a semester (per class) or $26 a month.

A 10% discount is available on the first months tuition if you refer a friend.
Note: Only 1 discount allowed per student. Discount only available on classes in the Sheboygan/Kohler location. Parents must remain in the lobby of the Sports Core during and all times surrounding class participation. Person and students are able to use the Take 5 Cafe, Pro Shop and Salon, however, are prohibited from all other member only areas of the Sports Core.

Note: Please do not ask to place your child in the wrong age level or skill level class.
Students will be placed according to the discretion of the teaching staff.
• To be enrolled in Soft Shoe Irish, students must be actively enrolled in ballet.
• To be enrolled in Hard Shoe Irish, students must be actively enrolled in Tap & Ballet and of 6th grade or higher.

Classes will begin September 17th.

12:30-1:00 Pre-Tap
1:00-1:30 Ballet
1:30-2:00 Soft Shoe Irish
2:00-2:30 Tap
2:30-3:00 Hard Shoe Irish
3:00-3:30 Jazz
3:30-4:00 Adult Irish

“Classes are subject to time changes of no more than 1 hour from these predetermined times. Any such changes will be due to enrollment and maintaining a proper class size and all will be promptly notified of any changes to the schedule.”

Note: Before making your dance education decision, please consider the commitment to the dance disciplines. Consistent attendance is part of the education, as well as teamwork and commitment. We will try to work with the sports and music programs.

Students Full Name:*
First Name Last Name

Address:*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone:
- Area Code Phone Number
Cell Phone:*
- Area Code Phone Number
Work Phone:
- Area Code Phone Number
Date of Birth:*
Month Day Year
Age:*
Grade:*
School Attending:*
Mother's Name:*
Class you are signing up for :*

Pre-Tap - 12:30-1:00 Ballet Beginner Irish/ Soft Shoe Irish Tap Hard Shoe Irish Jazz Adult Irish
Father's Name:*
Person Responsible for Payment
Full Name:*
First Name Last Name

Address:*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail Address:*
Home Phone:
- Area Code Phone Number
Cell Phone:*
- Area Code Phone Number
Work Phone:
- Area Code Phone Number
Are you signing up more than one child?*

Yes No
The below sections are all required signatures. Electronic signatures on the following statements are binding and represent full cooperation with the policies and waivers as enforced by Richards School of the Dance.
Parent's Signature:*
Today's Date*
Month Day Year
By filing this electronic registration form with Richards School of the Dance you hearby agree to pay the normal registration fee ($25 per family) along with the first months tuition no matter which payment policy has been selected.
Parent or Guardian's Signature:*
Today's Date*
Month Day Year
Referal's Name:
Should be Empty: