Scenic City Dance Online Registration

Registration

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Welcome to Scenic City Dance! We are thrilled you're here. We've made enrolling your students easy and convenient!

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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*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone

Work #

Cell # *

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

How can we contact you?

Home Phone

Work #

Cell #

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

Student Email

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

Student Email

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

Student Email

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

Student Email

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

Additional Info

Student Email

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Add Another Student

Required Policies and Agreements

Assumption of Risk

I (we) understand that there are risks of physical injury and possibility of death associated with, arising out of and inherent to the activity of dance. In recognition of this acknowledged risk of injury, I (we) knowingly and voluntarily waive all right and/ or causes of action of any kind, including any and all claims of negligence arising as a result of such activity from which liability could accrue to Scenic City Dance, Chattanooga, TN, it’ officers, agents, employees, instructors, subsidiaries, parent corporations, and all affiliated entities here in after collectively referred to as “Scenic City Dance”.

I've read the above and agree.

Release of Liability

I (we) hereby agree to release Scenic City Dance and hold Scenic City Dance harmless of all liability, and hereby acknowledge that I (we) knowingly and voluntarily assume full responsibility for all risks of physical injury arising out of active participation in dance on behalf of the participant.

I (we) am aware that this is a release of liability and an acknowledgement of my voluntary and knowing assumption of the risk of injury. I (we) have signed this document voluntarily and of my own free will in exchange for the privilege of participation.

I (we) also give Scenic City Dance permission to use my child’s picture in or on any form of advertisement for Scenic City Dance or a Scenic City Dance affiliated event.

I've read the above and agree.

Medical Emergencies

By signing this form, I (we) hereby authorize Scenic City Dance to consent to any medical care and treatment for my child that is recommended by a licensed healthcare provider to whom the Child is presented for treatment. In order to ensure that the Child receives prompt medical care and treatment when necessary, I (we) hereby release any licensed health care provider providing medical care to the Child in reliance of this form from liability relating to such provider's acceptance of my (our) substitute care giver's consent.

I've read the above and agree.

Seasonal Commitment

I (we) agree to a Seasonal participation that begins August 12th, 2019 through May 31st, 2020. This commitment includes participation in Scenic City Dance's Spring Ballet March 14th, 2020 and Spring Showcase May 30th, 2020. By committing our child to the 2019/2020 dance season I (we) understand we are committing to participating in weekly classes, additional rehearsals, fees that occur with training, costumes, performances, etc.

All class tuition is final and cannot be waved, refunded, or transferred. Cancellation of contract in the middle of the season is $75.00 plus the last months tuition and will be charged to the credit card on file.

I (we) agree to follow all Scenic City Dance Policies including dress code, on-time policy, our "be kind" project, and all rules listed on our website. I (we) understand that it is under the discretion of Scenic City Dance to remove any student from their program at any time for inappropriate behavior without any refunds.

I've read the above and agree.

Payment Policy

TUITION Policy: Studio tuition payments, costume fees, workshop fees, performance fees, etc. are non refundable & non transferable.
Studio tuition payments are due on the 1st of each month. Studio tuition is considered late on the 5th of each month. The Account Holder is responsible for making tuition payments on time to avoid late fees & penalties. If the studio is closed on the 1st of the month or anytime through the 5th of the month customers may remit payment by mail, set up auto pay, or pay by phone. We greatly appreciate customers setting up payment before absences and vacations to avoid paying late fees. Make up classes are offered as a courtesy and will not be guaranteed by Scenic City Dance. Account Holder has 30 days from the date of the absence to request a reservation for a make up class (see Studio Policy & Guidelines for exceptions).
LATE FEE Policy: Over due accounts are automatically charged late fees on the 6th of each month.
FEES: 10% late fee will occur to all overdue account balances. This includes monthly tuition, costume fees, participation fees, etc. Payment forms currently accepted by Scenic City Dance include Cash, Check, Visa, Mastercard, and Discover, Amex Card. NSF fees are non refundable.
Additional Fees: $25 NSF Check fee for all returned checks
$35 NSF Credit Card fee for all declined credit cards

CANCELLATION: 30 Day written notice is required to cancel an Account Holder’s studio account; without 30 day notice Account Holder agrees to pay tuition for all months charged including tuition, costumes, or any other fees that have occurred during those months. Students will not be considered withdrawn from the studio or any specific class until the business office is notified in writing by filing out a withdrawn form or schedule change form. An email does not warrant a cancellation.

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*