Registration | Dancers Only Nola

Dancers Only Registration Form

Student Name 1

Date of Birth

Age

Student Name 2

Date of Birth

Age

Student Name 3

Date of Birth

Age

Phone

Address

City

State

Zip

Parent/Legal Guardians

Emergency Contact (other than legal guardian)

Emergency Contact Phone

Medical Condition(s)

Academic School(s)

School Grade (Dancer 1)

School Grade (Dancer 2)

School Grade (Dancer 3)

How did you hear about us?

Previous Dance School (if applicable)

Dancer 1 (years of dance & subjects studied)

Dancer 2 (years of dance & subjects studied)

Dancer 3 (years of dance & subjects studied)

Payment & Tuition Information

Tuition is due by the 1st week of each month. If tuition is paid after the 10th of the month, a $5.00 late fee will be assessed, $10 after the 20th of the month. I understand that tuition is based on a breakdown of 9 monthly payments, we do not prorate for missed days, holidays or inclement weather cancellations. Please review our studio Rules & regulations packet.

I, the below undersigned, do hereby release DANCERS ONLY, LLC, its owner, faculty, and staff from any and all claims for damages or for injuries which may be sustained while participating in any class or event connected with DANCERS ONLY, LLC. I understand that DANCERS ONLY, LLC is in no way responsible for any injuries or damages sustained in or around the dance facility.

Registration Fee (Fall Only) ----- Please add an additional $10 for each sibling ----- Ex: (1 child = $25) (2 children= $35) (3 children = $45)*

Registration Fee

Thank you for registering! Once your registration form has been submitted, we will create a parent account for your dancer and confirm your registration. You are welcome visit our homepage and click "start here" under your appropriate track to complete our interactive Google form to select your classes for the season. We're excited to dance with you!