Excel Dance Academy - 2024-25 Registration Form

Welcome to our 2024/2025 Season!

Jumping Dancers with text: Leap into dance!

If you are registering multiple dancers you will need to fill out a separate form for each dancer!

Prices are displayed for the entire season. If you select register you will be able to choose a payment plan that will separate the class into monthly payments.

Other Fees

Item

Registration Fee

x 1

Price

$15.00

Amount

$15.00

Recital Fee

x 1

$50.00

Subtotal $65.00

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How old is your child

3 to 6 years old 7 or older

Select the type of dance class:

Select all Clear all

Ballet Breakdance Beginning Dance Creative Dance Hip-Hop Jazz Tap Tumbling

Participant Name

First name *

Last name *

Gender

Date of birth *

Medical conditions *

None Asthma Hearing disorder Hyperactive Visual disorder Incontinence Diabetes Epilepsy

Other

Allergies *

None Nuts Eggs Seafood Peanuts Insect bites/stings

Other

Account owner (Parent/Guardian)

Relationship

First name *

Last name *

Email *

Mobile *

Address *

City *

State/Province *

Zip/Postal code *

Additional Parent/Guardian

Relationship

First name

Last name

Email

Mobile

Emergency Contact

We will only use this number in the event of a serious emergency, if we cannot reach either parent/guardian at any phone numbers we have been provided. DO NOT use either of the contacts provided above!

Relationship

First name *

Last name *

Mobile *

Permission *

Do we have permission in case of an emergency situation to call 911?

Yes No

Advertising/Marketing *

I give permission for Excel Dance Academy to use video footage and / or photographs of my child/ward (their name will not be attached unless for graduation and you can request that their graduation not be posted). This usage may include (but is not exclusive to) displaying publicly, distributing, or publishing, photographs, and/or video of my child for use in materials that include, but may not be limited to:

- printed materials (ex - brochures and newsletters)
- online and offline advertising and promotion
- videos and digital images such for use on our website or social media.

Yes No

Please respect your studio; place all garbage in the trash cans, pick up your belongings, do not wear street shoes in the studios, keep your change areas and bathrooms tidy. Please be sure to clean up after yourself when you are finished.
Dancers will not hang on the barres, touch the mirrors or touch/operate the sound systems.
Drinks and cell phones are not permitted in class.
Dancers will not be allowed in any dance studio without a teacher present. This is for safety reasons.
Please call the studio and notify us if you are going to be absent as soon as possible. Please make every effort to be present at all of your classes.
The studio is not responsible for missed choreography or information due to absence. Please check with the office for a make-up class.
The studio is not responsible for any lost or stolen articles. Please leave your valuables at home.
Spectators are not allowed in class.
For safety reasons, no jewelry may be worn in class. Please leave all jewelry at home.
It is important that dancers come to class dressed in the proper dance attire (see Uniforms/ Dress Code in Dancers & Parents Handbook) so body lines are clearly visible to the instructors. This is necessary for proper instruction. Dancers who do not come prepared for class in the proper uniform will be asked to leave.
Dancers who do not wear a neat, secured bun for ballet class will be asked to leave. Dancers whose hair is long enough to get in their face must have their hair tied back, and off their face for all other classes. If the office or teachers has to supply items for their hair and/or do their hair a charge will be added to your account.
Dancers will show the utmost respect to the facility, fellow dancers, parents and staff at all times.
Replacement of any broken items will be the responsibility of the dancer or the dancer's Parent or Guardian.
I hereby release Excel Dance Academy and all staff from all claims of damage or injury suffered by above registered dancer in connection with or association with Excel Dance Academy.
I acknowledge that participation in dance is potentially dangerous and there is an inherent risk of injury involved. In allowing my child to participate in Excel Dance Academy activities, I hereby assume all the risks associated with the performing arts. I understand the importance of myself and my child following the instructions and rules set by their instructor/s, and I agree to release Excel Dance Academy and its employees of any and all liability which may arise as a result of my child’s participation in activities at Excel Dance Academy.

All dancers are invoiced based on a monthly basis, unless the class(es) are paid in full, so your invoice will be the same each term unless you change classes. If you decide to withdraw from classes mid-term for any reason, you will still be charged for the entire invoiced period. Terms run from Aug. 5th to Dec. 21st and Jan. 6th to May 24th.

All Tuition is non-refundable. Refunds will not be issued for missed classes due to cancellation, absence, or public holiday – where possible, we will endeavor to arrange make-up lessons for classes cancelled by Excel Dance Academy or will offer an alternative class.

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Please read and scroll to the bottom to accept.

Electronic signature

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