Registration Form

Student Information

Student Academic School

Parent/Guardian Information

Emergency Contact Information (Other than parent/guardian)

Medical Information

Please indicate any medical conditions that the staff should be aware of and/or limit your child's activities (i.e. allergies, asthma, injuries, learning difficulties, physical limitations and medical conditions.)

New Students Only

If yes, studio name

Number of years?

Returning students may indicate number of dance years to verify with office records.

Medical Release

I give my child permission to participate in the classes/programs for which I have registered.

I certify that my child is in proper physical condition to take part in all activities.

I realize that there are certain risks involved in dance, tumbling and the other physical activities of our programs.

In consideration of the above, I hereby release and hold harmless Dance Consevatory, its faculty/staff members and the directors from and against any liability or claim for any loss of property, injury, harm, cost or damage sustained as a result of my child's participation in classes, activites, performances, events and camps/summer programs.

I have completed the required medical information included with this registration form, including any allergies (environmental, food, or other), asthma, injuries, physical limitations, learning differences, medical conditions, and medications. I give permission to secure emergency medical attention in the event my child is injured or becomes ill and I or my emergency contact(s) cannot be reached.

Check here to certify that you have read and agree with all of the above.

Standard Photo and Video Release Form for Minor

I hereby irrevocably grant and authorize Dance Conservatory of Southern MN the right to take, edit, alter, copy, exhibit, publish or distribute for their use any photographs or videotape material taken of my student/myself to be used in and/or for promotional materials including, but not limited to newsletters, flyers, posters, brochures, advertisements, fundraising, letters, press kids, and considerations. I waive any right to inspect or approve the finished product of my likeness.

Check here to certify that you have read and agree with all of the above photo release information.

Payment Policy

Please be advised that you are registering for a 9-month commitment and by submitting this registration you are agreeing to be financially responsible to pay for this commitment. Accounts are charged on the first of each month. Tuition may be paid prior to the first in cash, check, or credit card through PayPal. Tuition is not pro-rated for absences or studio closures. Dancers are encouraged to attend makeup classes for classes missed. If Tuition is not paid by the 15th, a late fee will be charged.

Check here to certify that you have read and agree with the above payment policy.

Withdrawal Policy

To withdraw my child from classes at Dance Conservatory, I understand I must notify the studio and complete the withdrawal form; not attending classes does not constitute withdrawing. I am responsible for giving a 15 day written notice and responsible for tuition for this time-frame, including a $30 drop fee after November 30th. After January 1st, the drop fee will be $50 plus tuition during the time-frame. If costumes have already been ordered, I understand that I will comply with all payment policies for the costumes and I understand that I can pick up the costumes when they have arrived.

Check here to certify that you have read and agree with the above withdrawal policy.

Membership Fee of $20 is due by August 1st

$30 per dancer after August 1st

Membership fee is non-refundable and must be paid when this form is

submitted in order to guarantee your registration.

Session classes to not pay the registration fee.

Performance classes also pay a costume deposit per registered class due by October 1st.

More detailed information on costume deposits will be forthcoming.

Thanks for submitting!