North Florida Dance Center Online Registration

Registration

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Please create your family account and choose your class(es)
Summer: A 50% deposit will be processed within 48 hours of your enrollment with the balance due June 24, 2019. Call 904-406-4161 with any questions. Thank you!

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Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Info*

PROMO CODE

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # * Receive Text Message Notifications

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell # Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Name of school*

Special Needs

Allergies

Medications

Search through our class listing here. You can use the hamburger menu (3 lines) to filter classes by session, days, etc. Call us at 904-406-4161 if you need help choosing your classes.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Name of school*

Special Needs

Allergies

Medications

Search through our class listing here. You can use the hamburger menu (3 lines) to filter classes by session, days, etc. Call us at 904-406-4161 if you need help choosing your classes.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Name of school*

Special Needs

Allergies

Medications

Search through our class listing here. You can use the hamburger menu (3 lines) to filter classes by session, days, etc. Call us at 904-406-4161 if you need help choosing your classes.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Name of school*

Special Needs

Allergies

Medications

Search through our class listing here. You can use the hamburger menu (3 lines) to filter classes by session, days, etc. Call us at 904-406-4161 if you need help choosing your classes.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell # Receive Text Message Notifications

Additional Info

Name of school*

Special Needs

Allergies

Medications

Search through our class listing here. You can use the hamburger menu (3 lines) to filter classes by session, days, etc. Call us at 904-406-4161 if you need help choosing your classes.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Annual Registration Fee

18/19 SCHOOL YEAR SESSION:
Annual Registration Fee (Non-refundable) $35 1st child / $20 siblings is required yearly at time of registration.

SUMMER SESSION (classes and camps) NO REGISTRATION FEE

*Please note that students who take both school year and summer sessions are offered a VIP registration fee wavier at the end of each year.

I've read the above and agree.

Tuition, Fees & Payments

TUITION FOR SCHOOL YEAR SESSION:
Payment Option 1: E-Payment by credit card or bank draft. Tuition will be processed on the 1st of each month
Payment Option 2: Full year Prepay (SAVE 5%) Prepay the year's tuition in full (no refund for early withdrawal)
(Payments cover 4 classes per month - a 5th class (5 weeks) in a month is considered a make-up class for holidays or studio closures.
Electronic Payment is authorized at time of registration by submitting this form.

TUITION FOR SUMMER SESSION (CLASSES, CAMPS and WORKSHOPS):
50% deposit (non-refundable) with the balance processed through E-Payment by credit card or bank draft. Balance will processed on July 1st. Credit card or bank account information must be provided.
No refund for early withdrawal.

Bank Drafts: There is a $25 non-sufficient funds fee per occurrence.
Credit Cards: Declined e-payments occurring 2 months in a row are subject to a $25 administrative fee per occurrence.
OTHER FEES ONLY IF THEY APPLY:
COSTUME FEES (RECITAL BOUND CLASSES ONLY) - Non-Refundable. Processed by e-payment on the 15th of September. For students having multiple costumes, we will charge one costume fee per per month consecutively until costumes are paid in full. *** Tuition fees must be current for costumes to be released to students. ***All students get to keep their costumes after recital.
Ballet Stars, Rockin' Tots or Combo Class = $70/costume
Levels I-VI = $80/costume
RECITAL FEES - ALL FEES ARE NON-REFUNDABLE
Dance: $100 1st child / $50 siblings - FREE ADMISSION! Fee will be processed on March 15th, 2018 through electronic payment (e-payment)
Music: $30 1st child / $20 siblings - FREE ADMISSION! Fee will be processed on March 15th, 2018 through electronic payment (e-payment)

DANCE COMPETITION/CONVENTION FEES: Will process through e-payment the 15th of the month for which they are posted.

I've read the above and agree.

Withdrawal and Refunds

A 30-day written notice is required to discontinue any class. A parent or adult student must inform office staff in person and complete/sign a withdrawal form provided by the studio office. All automatic bank debiting or credit card charges will stop after the 30-day notice period. Asbury Arts Center reserves the right to terminate lessons to any student without notice. In such a case, a refund for unused lessons will be given.

I've read the above and agree.

Attendance and Tardiness

GROUP CLASS STUDENTS: Missed or cancelled classes are not pro-rated or refunded. Make up classes must be made up within 30 days. Monthly tuition payments remain the same regardless of studio closures. If an illness, holiday, or school closing causes you to have less than 4 classes in a full billing month, please feel free inquire in the office if you would like to attend a make up class. Long months that have a 5th week/class are considered a make up classes for months that fall short due to holidays.
August 2018 tuition will be prorated 3 weeks
June 2019 tuition will be prorated 1 week

PRIVATE MUSIC LESSON STUDENTS: 24 hour advance notice is required for students NOT able to make their regular lesson time. One make up lesson per month will be honored with advance notice of absence given. No show lessons (less than 24 hour notice) will incur a regular charge.

I've read the above and agree.

Injuries/Liability Waiver

Parents and/or legal guardians of minor students and adult students assume a certain amount of risk with dance, tumbling, fitness related and taekwondo activities and agree to waive the right to any legal action for any injury sustained on studio property resulting from normal dance activity or any other activity conducted by the students before, during or after class time.

I've read the above and agree.

ADDITIONAL POLICIES

PHOTO/MEDIA RELEASE: The studio is hereby granted permission to take photographs of the students to use in brochures, web sites, posters, advertisements and other promotional materials the studio creates. Permission is also hereby granted for the studio to copyright such photographs in its name. The studio will not post any child's full name without parent consent.

SUBSTITUTE TEACHERS: The studio reserves the right to provide a substitute teacher in the event the regular teacher is unavailable.

DRESS CODE: YOUTH CLASSES: Please see our studio information packet or website for specific dress code requirements. www.asburyartscenter.com

AWARENESS OF DATES/EVENTS: The studio will post all information on the studio doors and or bulletin board and the website www.asburyartscenter.com

UNOBSERVED STUDENTS: The studio is not responsible for providing before or after class care. Please do not leave your children unattended outside of class time and contact the studio office if you are experiencing a delay. 904-406-4161

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments

Payment Information

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number