Lisa Wilson Page1seven Oaks Shopping Center

LISA WILSON PAGE1SEVEN OAKS SHOPPING CENTER

DIRECTORRegistration Form 2015-2016803-798-6062

Student’s Name ______Age______

Parent’s Name______

Address ______ZIP ______Phone (H) ______

City______State ______Phone (W) ______

Parent’s E-mail Address ______

School or Daycare Attending ______Grade ______Birthday ______

School or Daycare Attending ______(2015-2016 School Year)Birthday _ Mo. Day Yr. .

Previous Dance Instruction (To Be Completed By ALL Enrollees)

Subject ______# Of Years Taken ______Last Year Taken ______

Please Enroll My Child (Me) As Indicated Below: (Age Requirements for Class)

______Tap (3 Yrs Old & Up)______Combo Tap & Ballet (3, 4 & 5 Yrs Old)______Dance Twirl (5 Yrs Old & Up)

______Jazz (6 Yrs Old & Up)______Combo Tap & Jazz (6-9 Yrs Old)______Lyrical (8 Yrs Old & Up)

______Ballet (6 Yrs Old & Up)______Combo Ballet & Jazz (6-9 Yrs Old)______Pointe (Recommendation)

______Other

Last Year’s Schedule (For Returning Students Only)

2014-2015Subject ______Class Time & Day ______

Conflicts:Please Indicate All Known Regular Schedule Conflicts: ______

______

** For NEW Students ONLY** - Please list only one name

Referred to Dance World by ______

Date ______Guardian’s Signature ______

**Important** ______I Am Interested In Dance Classes Before 2:00 PM

Complete And Return With A $15.00 Registration Fee

In signing this registration for dance instruction, Dance World reserves the right to take or use photographs of me and/or my minor child(ren) in connection with the events or activities of Dance World and further authorizes Dance World, its assigns, and transferees to copyright, use and publish the same in print and/or electronically. Dance World may use such photographs of me or my child(ren) with or without names and for any lawful purposes, including, but not limited to: publicity, illustration, advertising, and web content.

DANCE WORLD ● 140 COMMERCIAL DRIVE ● COLUMBIA, SC29212

LISA WILON PAGE1SEVEN OAKS SHOPPING CENTER

DIRECTOR2803-798-6062

2015-2016 Fee Schedule

Registration Fee$15.00 Per Student Due At Time Of RegistrationNon-Refundable

Recital Fee$20.00 Per Student Due September 1stNon-Refundable

Instructional$54.00Per Month Sept., Oct., Nov. & Dec.$40.00Per Month Jan., Feb.,

Charges Based On 45 Minute Classes1st Class For Student Or FamilyMarch, April & May

Meeting Once A WeekMember.Non-Refundable

Includes Installment of Costume**

Non-Refundable

$44.00Per Month Sept., Oct., Nov. & Dec.$30.00Per Month Jan., Feb.,

2nd Class For Student Or FamilyMarch, April & May

Member.Non-Refundable

Includes Installment of Costume**

Non-Refundable

$42.00Per Month Sept., Oct., Nov. & Dec.$28.00Per Month Jan., Feb.,

3rd Class For Student Or FamilyMarch, April & May

** Total Cost of Recital Costume isMember.Non-Refundable

$56.00 per class. We divide the costumeIncludes Installment of Costume**

Into four equal payments of $14.00. ThisNon-Refundable

is added to your monthly tuition for the

months of Sept., Oct., Nov. & Dec.

Costume Fees Are Non-Refundable.Combo Classes Only

$56.00Per Month Sept., Oct., Nov. & Dec.$42.00Per Month Jan., Feb.,

1st Class For Student Or FamilyMarch, April & May

Member.Non-Refundable

Includes Installment of Costume**

Non-Refundable

$46.00Per Month Sept., Oct., Nov. & Dec.$32.00Per Month Jan., Feb.,

2nd Class For Student Or FamilyMarch, April & May

Member.Non-Refundable

Includes Installment of Costume**

Non-Refundable

Tuition is payable on or before the first day of each month September through May. May tuition is due no later than April 28th. All monthly (including costume and recital) fees are Non-Refundable. There will be a $10.00 per month late charge on each payment that is overdue 30 days or more. If payment is 60 days overdue a student will be unable to attend class until all back fees are paid in full. Dance World charges a $30.00 handling charge on all returned checks.

All tuition must be paid in full through the moth of December for a costume to be ordered. Any costume ordered after January 1st will have a flat $20.00 extra charge to handle special orders.

All fees, including May tuition, must be paid before a student will be allowed to participate in the Recital or receive their costume. All tuition must be paid in full by April 28th, including May fees.

New Students of Returning Students

Dance World awards trophies for 3, 5, 8, 10, 12 & 15 years of continuous study. The continuous years of dance do not have to be in a single subject. Please ask for a Trophy Transfer Form. The Trophy Transfer Fee is $20.00 per student, payable at the first time of registration.

DANCE WORLD ● 140 COMMERCIAL DRIVE ● COLUMBIA, SC 29212