Richards School of Dance

Richard's School of the Dance Registration Form

2011 Fall Registration
(Fall Schedule will be availble on June 20th)
Open House will be held August 22 and 23 from 4:30 - 6:30pm.

In order to expedite and arrange the Fall Schedule, we need to know if you will be continuing your dance education.

There is a $25 per family (non-refundable) registration fee.
This registration fee GUARANTEES your child's spot in Fall Classes, as well as covering all scheduling, administrative paperwork, computer work, mailing and phone calls PER student, etc.

Again, lesson fees remain the same, NO INCREASE!
$78 per semester (per class)

Rates apply the same for every family so plan NOW accordingly. No matter what plan you may have had in the past, ALL students (families) pay the same amount. Again, plan now for future payments.

Please fill out the whole form. Return with registration fee on on or before May 3rd for returning students and August 23rd for new students. Students not continiung your dance education please indicate, and be courteous enough to return this form.

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.

Fall Class Schedules will be available Monday, June 20.
All classes will advance to the next level. Some classes will be changed by 1/2 hour to an hour earlier or later. Some classes will move to another day, some may dissolve and begin at a new day and/or time. We will be emailing out class schedules beginning June 20.

Please complete your registration form and return it on or before May 3rd for returning students and August 23rd for new students with registration fee.

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 team work and commitment. We will try to work with the sports and music programs.

FALL REGISTRATION FORM
All information is required

Full Name*
First Name Last Name
Home Number*
- Area Code Phone Number
Work Number
- Area Code Phone Number
Cell Number*
- Area Code Phone Number
E-mail*

Address*

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

Birth Date*
Month Day Year
Age*
Grade entering in Fall*
School Attending*
Mother's Name*
First Name Last Name
Father's Name*
First Name Last Name

Address*

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

Person Responsible for Payment
Full Name*
First Name Last Name

Address*

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

Number to Contact*
- Area Code Phone Number
Classes
Type of Dance 1
Day 1
Time 1
Add? 1

Click to add
Continue? 1

Click to continue
Drop? 1

Click to drop
Reason for Drop 1
Type of Dance 2
Day 2
Time 2
Add? 2

Click to add
Continue? 2

Click to continue
Drop? 2

Click to drop
Reason for Drop 2
Type of Dance 3
Day 3
Time 3
Add? 3

Click to add
Continue? 3

Click to continue
Drop? 3

Click to drop
Reason for Drop 3
Type of Dance 4
Day 4
Time 4
Add? 4

Click to add
Continue? 4

Click to continue
Drop? 4

Click to drop
Reason for Drop 4
Type of Dance 5
Day 5
Time 5
Add? 5

Click to add
Continue? 5

Click to continue
Drop? 5

Click to drop
Reason for Drop 5
Type of Dance 6
Day 6
Time 6
Add? 6

Click to add
Continue? 6

Click to continue
Drop? 6

Click to drop
Reason for Drop 6
Type of Dance 7
Day 7
Time 7
Add? 7

Click to add
Continue? 7

Click to continue
Drop? 7

Click to drop
Reason for Drop 7
Type of Dance 8
Day 8
Time 8
Add? 8

Click to add
Continue? 8

Click to continue
Drop? 8

Click to drop
Reason for Drop 7
Parent/Guardian Signature*
Date*
Should be Empty:

Person Responsible for Payment

Classes