Fall 2014/Spring 2015 Registration Form

Fall 2014/Spring 2015 Registration Form

Family Last Name: ______

Contact #1 First Name: ______Last Name: ______

Relationship to Student: ______Home Phone: ______

Cell Phone: ______Work Phone: ______E-mail:______

Contact #2 First Name: ______Last Name: ______

Relationship to Student: ______Home Phone: ______

Cell Phone: ______Work Phone: ______E-mail:______

Home Address: ______

City: ______Zip Code: ______

Emergency Contact (Other than Contact 1 or 2):______

Phone: ______

Health Insurance Carrier: ______

Student First Name: ______Last Name: ______

Gender: ______Birth Date: ______Allergies: ______

Medications: ______Primary Physician: ______

Classes:

1.______

2.______

3.______

4.______

5.______

6.______

Please ensure we have your e-mail address. This is how we do the majority of our communication. Thanks!

The following agreements, releases, and waivers pertain to persons participating in Studio Seven Center for Creative Studies’ classes and other activities. SSCCS is interchangeable with Studio Seven Center for Creative Studies.

ACKNOWLEDGMENT OF RISK AND WAIVER OF LIABILITY

I, (if adult student, please print name)______

OR as legal guardian of (print name of student)______

I hereby consent to the aforementioned person participating in Studio Seven Center for Creative Studies’ classes and activities. I acknowledge that potentially severe injuries may occur in any activity involving motion, including dance, tumbling, acrobatics, and other related activities. In consideration for allowing the above student to utilize SSCCS’ facilities and for other good and valuable consideration the receipt and sufficiency for which is acknowledged. I hereby forever release, discharge and hold harmless (“SSCCS”), Studio Seven LLC, its owners, shareholders, members, managers, directors, officers, employees, independent contractors and instructors from any and all liability for any and all damages and injuries suffered by the above student, while under the supervision, instruction, or control of SSCCS and/or that relate to in any way to the student’s participation in any activities offered by SSCCS . As legal guardian of the above mentioned student, I hereby agree to individually provide for the possible future medical expenses, which may be incurred by the above student as a result of any injury sustained while training at or performing for SSCCS. This acknowledgment of risk and waiver of liability having been read thoroughly and understood completely is signed voluntarily to its content and intent.

I Have Thoroughly Read and Understand Completely the Policies and Liabilities As Listed Above

Signature of Parent/Legal Guardian______Date______

PERMISSION TO TREAT (OPTIONAL)

I hereby give permission to trained medical professionals to administer emergency medical treatment to my child should sickness or accident occur in my absence.

Signature of Parent/Legal Guardian______Date______

APPEARANCE RELEASE

Condition of Participation: Parent/legal guardian signature is required in order for minor (student) to participate in classes, dance concert, and other activities.

I understand that as a participant in classes, in the annual dance concert, rehearsals, performances, and/or any other activities, I may be or the minor (student) may be included in recordings or photographs taken during these activities.

This may include, but not limited to, a class photograph and/or a video recording of the concert to be used for sale by Studio Seven Center for Creative Studies or its assignees.

The minor’s (student’s) face, likeness, voice, and appearance as a part of these activities may be used in advertising and promoting Studio Seven Center for Creative Studies.

Therefore, without reservation or limitations, I, on my own behalf and on behalf of the minor (student), hereby assign, transfer, and grant to Studio Seven Center for Creative Studies, its successors, assignees and all other commercial exhibitors the right to photograph and/or the exclusive right to videotape the minor.

Signature of parent/legal guardian______Date______

AUTHORIZED PICK-UP

I authorize the persons below to pick up my child(ren), student, etc. I understand that such persons will be required to show proper identification upon pick-up

1.______2.______

3.______4.______

Signature of parent/legal guardian______Date______

Studio Seven Center for Creative Studies

Policies 2014-2015

This form represents the agreement between the student______and caregiver______and Studio Seven LLC. Your signature indicates that you are in agreement with, and will abide by, all policies and terms set forth below. A separate form is required for each enrolled student.

1. Registration/Tuition:There will be a $20 registration fee (each additional family member is $5) assessed at the time of enrollment. This fee reserves the student’s place in class, and is non-refundable. If a student is ONLY enrolling in Kindermusik, Art or PRIVATE music lessons, the registration fee is $10, with each additional family member being $5. Current tuition rates are posted on our website. Tuition is a 45-week fee divided into 10equal monthly payments (August-May). The tuition is determined by the amount of classes taken by the entire family, not each individual student. Please note, tuition fees are due on the FIRST lesson of every month, and are the same, whether or not there are 3, 4 or 5 lessons in any given month. We DO NOT prorate tuition, or provide refunds for classes missed. We will, however, allow the student to attend a make-up lesson in a like class. If you decide to drop a class, please provide a two-week notice. If payment is not received by the 10th of each month, a $10 late fee will be added to the account.
2. Calendar:Please see the calendar of events on our website ( for all important dates and events. If there is a reason that the studio needs to close with little warning, all efforts will be made to contact the parent/caregiver via cellular phone or email. It will then be posted on our website, followed by an update on our Facebook page ( studiosevenflorida.com).
3. Payment:Studio Seven Center for Creative Studies takes payment via cash, check or credit/debit card. Checks may be made payable to Studio Seven, and a $25 fee will be assessed for all returned checks. Receipts are available from the receptionist, or may be e-mailed to you. To avoid potential late fees, it is suggested that you set up an automatic payment, should your bank offer this service. The tuition fee is NOT inclusive of dance apparel, footwear, costume costs, accessories, recital fees or tickets; these are additional expenses.
4. Attire:It is essential for students to be in proper dance attire when participating. Please see the class description page on our website for specific requirements for each class. Acceptable clothing includes: tights, leotards, dance skirts, dance pants, leggings, and non-baggy t-shirts and sweatpants. If the student is wearing a leotard, shorts, and/or a skirt, dance tights arerequired. Bare midriffs are NOT allowed. Hair must be pulled back and completely off of the face (for ballet, a bun is required). Aside from small stud earrings, no jewelry is permitted while dancing. Studio Seven Center for Creative Studies is NOT responsible for lost or stolen belongings, so please ensure that personal items are left at home. Proper footwear is critical both for technique, and in the prevention of injury. Suggested footwear and tights are available for purchase in studio. Satin slippers are NOT approved footwear.
5. Pick-up/Drop-off Procedures:Please ensure your student is dropped off with adequate time for drinks, restroom use, and for putting shoes on, as to minimize classroom disruption. Please also ensure that your student is picked up within 15 minutes of the end of his or her class. Students are required to stay inside the building until an authorized adult (as indicated on Authorized Pick-up/Drop-off form) comes inside to take them home. For student safety and traffic congestion purposes, it is REQUIRED that you park your car in a space, and come in to pick up your student.
6. Classroom Observation:Parents are not permitted inside of the dance room unless invited by the instructor. This helps the instructor to maintain the complete attention of the student, and negate any distraction that may be caused by family members and friends being in attendance. We do have observation windows, but please refrain from gathering at the window for extended periods of time. We understand the importance of seeing the progress that your student is making, so official observation days will be scheduled throughout the year. Please see the calendar of events on our website. If you need to speak with an instructor, please see the receptionist or Ms. Casey to schedule an appointment.

Thank you in advance for your attention to these important policies and procedures. Your adherence will ensure that we have a great year!

By signing this waiver, I agree that I have received, read, and will abide by the policies listed above.

Student Name:______Date:______

Signature:______Print Name:______

(Student [if over 18], Parent or Guardian)

2014-2015 Tuition Rates

Acrobatics, Ballet, Children’s Combination, For the Boys, Fusion, Hip-Hop, Jazz, Modern, Mommy & Me, Tap, and Cartooning:

1Class-$45 per month

2 Classes-$80 per month

3 Classes-$110 per month

4 Classes-$140 per month

5 Classes-$160 per month

6 Classes-$180 per month

7 Classes-$200 per month

Unlimited Classes-$225 per month (doesnot include Private Lessons, Kindermusik,Barre Challenge, Zumba or Workshops/Master Classes)

Group Guitar Instruction/Makin’ Music

$50 per month

Kindermusik

$50 permonth (includes required digital home materials). If one or more siblings enroll, a 50% discount will be given to each additional child.

Barre Challenge/Zumba

$7.00 per class, or purchase a class card ($60 for ten classes). Class cards expire three months from date of purchase.

**Please inquire at the front desk about rates for private dance, music, and art lessons**

Tuition prices reflect the amount of classes taken by the entire family, not by each individual student. There will be a $20.00 registration fee (each additional family member is $5.00) assessed at the time of enrollment. This fee reserves the student’s place in class, and is non-refundable. Tuition is an annual fee divided into monthly payments. If a student is only enrolling in Kindermusik, the registration fee is $10.00, with each additional family member being $5.00.Tuition fees are due on the first lesson of every month, and are the same, whether there are 3, 4 or 5 lessons in any given month. We DO NOT prorate tuition, or provide refunds for classes missed or cancelled due to weather. We will, however, allow the student to attend a make-up lesson in a like class. If you decide to drop a class, please provide a two-week notice. If payment is not received by the 10th of each month, a $10 late fee will be added to the account. Please see the policies tab for additional information on our tuition policy.

RECITAL/SHOWCASE: We will have two performances this year. A semi-formal winter showcase will be held in mid-December, and our end-of-year production will be held at Charlotte Performing Arts Center on Saturday, May 30th, 2015, with a mandatory technical/dress rehearsal on Friday, May 29th. Students are NOT required to perform in either show, but please notify us with ample time if your student will not be participating. We will not be ordering costumes for our winter showcase, but will be doing so for our end-of-year production. The cost is $75 per costume; a $25 deposit per costume is due on November 1, 2014, and the remaining $50 per costume is due on January 15, 2014. The costume fee in not inclusive of shoes and tights. There will be a recital fee of $40 per child that includes two show tickets and a performance t-shirt, and is due on March 15, 2015.