Wilkerson Dance Studio

Registration

All students must submit a participation waiver before the start of classes.
Registrations are accepted online, at open house, by calling the studio, or by mailing this form to the studio
We can accept payments by cash, check, debit, Visa, or Mastercard
Classes begin September 7th.
Tuitions are based on the type and length of classes taken.
All Classes must be paid for and make-up lessons may be taken.
25% DISCOUNT off ADDITIONAL classes per week per student IF PAID ON TIME

Tuition & Fees

All Tuitions are NON-REFUNDABLE.
New Students Only - $15.00 per student, due upon registration for class
All students - $15.00 fee for late registration (after Sept. 7)
Returned Check Fee: $25.00.
Installment payments are based on our school year divided into 6 equal payments for your convenience.
A $5.00 LATE FEE will be assessed per month on late accounts.
ANNUAL and SEMESTER tuitions must be paid on or before the due date to receive discounts.
Mailed statements will only be sent to past due accounts.

Parent/Guardian
Registration Form		Current Student New Student
Last Name	First Name
Student Information
Student Last Name	Student First Name
Birth date	School
Home Address	City
State	Zip
Please include area code for all phone numbers.
Home	Work
Cell	E-mail

Class Selection
See our schedule for class names. If uncertain please submit questions and we will assist you.
	Jumping Jacks - Monday (age 3)	Jumping Jacks - Tuesday (age 3)	Jumping Jacks - Thursday (age 3)
	Pre-dance 1 - Monday (age 4-5)	Pre-dance 1 - Tuesday (age 4-5)	Pre-dance 1 - Thursday (age 4-5)
	Pre-dance 2 - Tuesday (age 5)	Pre-dance 2 - Thursday (age 5)
	Elementary Dance 1 - Tuesday (grades 1-3)	Elementary Dance 1 - Wednesday (grades 1-3)	Elementary Dance 2/3 (grades 2-3 w/experience)
	Tap - Lower Intermediate	Tap - Intermediate	Tap - Advanced
	Tap - Beginning Teen	Tap - Beginning Adult	Tap - Intermediate Adult
	Contemporary (advanced students only)	Modern (grade 4 and up)	Lyrical (advanced students only)
	Ballet - Lower Intermediate	Ballet - Intermediate	Ballet - Intermediate\Advanced
	Ballet - Advanced	Pointe (w/ permission & other ballet class)
	Hip Hop - Beginning	Jazz - Lower Intermediate	Jazz\Hip Hop - Intermediate
	Jazz - Advanced	Jazz - Beginning Adult	Jazz - Intermediate Adult
	Guys Class (age 13+, no experience necessary)	Beginning Hoofers (tap technique, discount for drama students)
Submit questions or other information here.
You will receive an e-mail or phone call from the studio office to confirm your registration and answer your questions within 48 hours. To complete the registration, you will need to mail in the appropriate fees and tuition. Thank you for your interest in Wilkerson Dance Studio.
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Registration and Tuition

for Fall 2011 - Registrations due Sept. 7