SSHCoOp Registration

Home
Classes
Register
Pay Tuition
Instructors
Dressed To Groove
Recital Info

South Suburban Homeschool Co-Op Dance Classes

* Indicates required field

Student Name *

First

Last

Student Birthdate *

Age *

Current age

Student Phone *

If applicable

Guardian Name *

First

Last

Parent or guardian responsible for tuition with drop off/pick up privileges

Guardian Phone *

Texts OK? *

Yes No

Guardian Name *

First

Last

Additional parent or guardian with drop off/pick up privileges

Guardian Phone *

Text OK? *

Yes No

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Classes *

Lyrical/Jazz: ages 9-13 Mon 12-1pm Ballet I/II: ages 9-13 Mon 1:15-2:30pm Ballet I/II: ages 6-8 Mon 2:30-3:30pm

How would you like to pay tuition *

In full - up front ($5 discount) Payment plan with 2 payments Payment plan with 3 payments

Fine Print ~ Important Info & Waiver *

I hereby release Loren Harn, Steve Schwartz, Barre None Ballet, Room To Move Studio & All Associates from all liability for personal injury, illness, property loss or damage. I certify that the named student(s) is in good health and is capable of participating in classes. I agree to allow photographs to be taken for promotional use (names will be withheld). I agree to allow my email address to be added to the studio mailing lists. I understand the tuition is due by the 1st class of each 8 class quarter. I understand full tuition amount is due regardless of attendance. I take full financial responsibility for all tuition accrued by named student I understand that there are NO REFUNDS on tuition paid

Submit

Powered by

Create your own unique website with customizable templates.

Home
Classes
Register
Pay Tuition
Instructors
Dressed To Groove
Recital Info