Asbury Arts - North Florida Dance Center Online Registration

Registration

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Please create your family account and choose your class(es)
Registration and tuition will be processed after enrollment has been reviewed.
Please allow 24-48 ours for our office to review your enrollment and call 904-406-4161 with any questions. Thank you!

* denotes required fields

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*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

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

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)

Additional Info

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by 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)

Additional Info

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by 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)

Additional Info

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by 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)

Additional Info

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by 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)

Additional Info

Name of academic school (if you attend one)

Allergies or other med/special needs (leave blank if none)

Search through our class listing here. You can use the search icon to filter by 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

ONSITE/SCHOOL YEAR SESSION ONLY : (Non-refundable) $35 1st child / $20 siblings is required yearly at time of registration.
No registraiton fee for ONLINE CLASSES & SUMMER SESSION
*Students who take both school year and summer sessions are offered a VIP registration fee waiver at the end of each year.

I've read the above and agree.

Tuition, Fees & Payments

SCHOOL YEAR SESSION
Payment Option 1: E-Payment by credit card or bank draft. Tuition will be processed on the 1st of each month or in full for special sessions.
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.

SUMMER SESSION
50% deposit (non-refundable) at time of enrollment with the balance due the 1st day of summer session. (see calendar) Payments will be processed through E-Payment by credit card or bank draft. Credit card or bank account information must be provided.
No refund for early withdrawal.
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NSF Fees for ACH/Bank Drafts: There is a $25 non-sufficient funds fee per occurrence.
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Late Fees: $15 for tuition payments not received by the 10th of the month.
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Credit Cards: Declined e-payments occurring 2 months in a row are subject to a $25 administrative fee per occurrence.

I've read the above and agree.

Other Fees Dance Classes Only
**Online only class package has NO costumes or recital fees***
COSTUME FEES (Dance recital bound classes only) Non-Refundable. Processed by e-payment on the 15th of September or 15th of the month of later enrollment. Student having multiple costume will be charged 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.
Ballet Stars, Rockin' Tots or Combo Class = $75/costume
Levels I-VI = $85/costume
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RECITAL FEES - NON-REFUNDABLE
Dance: $100 1st child / $50 siblings - FREE ADMISSION - processed on March 15th through electronic payment (e-payment)
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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.

Other Fees Music Only
Music: $30 1st child / $20 siblings - FREE ADMISSION - processed on March 15th through electronic payment (e-payment)

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 by filling out the withdraw form in person or emailing detailed drop request to nfdc@comcast.net. 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 tuition will be prorated 3 weeks - June 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
Students (and parents/guardians who are enrolling minors) assume a certain amount of risk associated with dance, tumbling, and other fitness related activities. I agree to waive the right to any legal action for an injury sustained on studio property or during online class offerings prior to, during, or after class or event participation at Asbury Arts Center (North Florida Dance Center, Inc. )

I've read the above and agree.

COMMUNICATIONS & ADDITIONAL POLICIES
COMMUNICATIONS: The studio will use email to communicate with you in most circumstances.
TEXT MESSAGES: All contacts will be enrolled in text messages for the purpose of last minute cancellations or in the event that regular phone/email communications are not effective. You have the right to opt out of text messages at any time. Please ensure that your email and mobile phone numbers are correct.
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PHOTO/MEDIA RELEASE: The studio is hereby granted permission to take photographs and videos of the students to use in brochures, web sites, posters, advertisements and other promotional materials. 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.
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SUBSTITUTE TEACHERS: The studio reserves the right to provide a substitute teacher in the event the regular teacher is unavailable.
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DRESS CODE: YOUTH CLASSES: Please see our studio information packet or website for specific dress code requirements. www.asburyartscenter.com
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AWARENESS OF DATES/EVENTS: The studio will post all information on the website www.asburyartscenter.com
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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

Please fill out ONE of the following Payment Methods

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