2022-2023 Registration Form

Type of Class: (required)

In Studio Class
Student’s Last Name: (required)

Student’s First Name: (required)

Mailing Address (required)

City (required)

State (required)

Zip Code (required)

Apt Number (required)

Student's Age (required)

Student's Date of Birth (required)

Student's Gender (required)
malefemale

Student's Dance Resume
Years of experience and Genre's trained goes here...

Parent/Legal Guardian Name: (required)

Parent/Legal Guardian First Name: (required)

Home Phone

Cell Phone

Work Phone

Parent/Legal Guardian Email: (required)

Emergency Contact - Primary Name (required)

Emergency Contact - Primary Cell Phone(required)

Emergency Contact - Secondary Name

Emergency Contact - Secondary Cell Phone

Medical Information
Insurance Company

Important medical conditions to be aware of

Classes Interested in
Please fill out the day, class name, level and time

I understand that, Miss Tanya’s School of Dance and its faculty are not liable or assume responsibility for personal injuries, damages, or loss of personal property. I understand that it’s required that my child is to be covered by my insurance and if injury occurs, it is understood that my own policy is the only source of reimbursement. A separate in-studio Covid 19 waiver form will be required to fill out, sign and return. The separate Covid waiver form is on our website and must be signed and returned before the dancers first scheduled class.

Tuition is a set rate, based in an annual fee, divided into 10 equal monthly payments from September 2022 – June 2023. Vacation weeks and holidays are taken into calculation when establishing tuition prices. Payments are the same each month. Tuition is not prorated if a month only has 2 weeks of class/classes or increased if the month has 5 weeks. Dress Rehearsal is considered a class in the month of June. Monthly tuition payment is due the 1st of each month with a grace period until the 15th of the month. If tuition is paid after the 15th of the month a late fee will be added. Tuition is non-refundable and will not be prorated to accommodate for missed classes. Students may schedule up to 7 FREE make-up classes in advance for their first class and one make-up class for each class taken from September 2022 – February 2023 to offset any missed classes due to illness, snow days, holidays, competition dates, workshop dates and recital. I understand that it is my responsibility to schedule make-up classes. Late fees are applied to all negligent accounts and I understand that it is my responsibility to have payments paid by the set due dates to avoid any extra late fees. I am aware that June tuition is due on or before May 22nd 2023 (NOT by June 15th 2023). I also give permission to charge my credit card on file if my account is 15 days past due. All students are required to have a credit card on file. I understand that Miss Tanya’s School of Dance is entitled to use videography and photography throughout the year: these photos and videos may be used for advertising, promotions and on our website, Facebook and Instagram.

*Class size is limited and is accepted on a first come first serve basis. You will be notified if the class that you registered for is full and we will try to find another class. Registration fee must be paid when for is submitted,

Enter your name to confirm registration as a Parent/Legal Guardian (required)

Date of registration (required)

*Office staff will calculate the monthly tuition

Please note: The Registration Fee is $25 which needs to be paid online by visiting Payments Page after submitting this form. The registration will be complete only after submitting this form and the 2022-2023 Credit Card information form. Please provide Student's name as mentioned in the registration form and write "Registration 2022-2023" in Reason of Payment