Registration
4 openings left in this event!
The Performance Company Auditions will be held on Monday, May 11th from 6:30 - 8:30pm. This will be a jazz audition. The results of the audition will be posted on the website Monday, May 29th.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
POLICIES - I have read, understand, and will comply with all of the policies of the Dance Factory and the requirements for the 2018 Performance Company.*
REQUIREMENTS - As listed in the Performance Company Details my child plans to participate in the required CORE classes, rehearsals, competitions, etc.*
BIRTH CERTIFICATE - I will submit a copy of my child's birth certificate. PERTAINS TO NEW PERFORMANCE COMPANY STUDENTS ONLY.*
FEES - I understand that all fees are non refundable, will be automatically debited when due unless prior payment is received, and that I must have an active credit card on file at all times.*
ATTENDANCE - As listed in the Performance Company Details my child plans to participate in the required classes, rehearsals, etc.*
I would like my dancer to participate in an additional SMALL GROUP dance. I understand the additional rehearsal time and fees involved.*
I UNDERSTAND THAT IN ORDER TO AUDITION FOR THE 2018 PERFORMANCE COMPANY MY ACCOUNT MUST BE CURRENT. NO EXCEPTIONS.**
CHARGES DUE ON ENROLLMENT - On May 11th, I understand that my credit card will be charged $75 for the following one time fees; $30 audition fee and $45 enrollment registration fee.*
ELECTRONIC SIGNATURE - By checking the "yes" box, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.*
I have read through and answered all of the above questions. INCOMPLETE FORMS WILL NOT BE ACCEPTED.**
CONFLICTS - Please list any other activities you are involved in and any conflict dates.*
 
Additional Information:
 
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*