payment plan option form and waiver for sept 2018/2019 dance season

 

Please complete the form below - one per family

Dancer #1 *
Dancer #1
Dancer #2
Dancer #2
Dancer #3
Dancer #3
Dancer #4
Dancer #4
Parent/ Guardian Name *
Parent/ Guardian Name
WAIVER *
We require that the dancers PARENT/ GUARDIAN/ reads and agrees to the following waiver: The MEMBER/ PARENT/ GUARDIAN waives and releases Studio G Dance Academy; any program; and it’s employees from any and all claims for personal injury arising during the participation in any program, and/ or while waiting unsupervised before and after class. The MEMBER/ PARENT/ GUARDIAN has read the website/ brochure/ registration details and accepts all policies posted on studiogdanceacademy.com.
PAYMENT OPTIONS *
Download Payment Plan Table at the bottom of the page for the breakdown of fees. Please select your option below:
METHOD OF PAYMENT *
Cheques payable to: Studio G Dance Academy LTD E-transfers: info@studiogdanceacademy.com
If you have more than one dancer and require a different payment plan for each dancer please write your comments below.
FULL REGISTRATION REQUIRED BY MONDAY SEPTEMBER 10TH 2018 PRIOR TO COMMENCEMENT OF CLASSES *
*Your Dancer is considered fully registered once the following fees have been paid: $28 registration fee/ $50 costume deposits for each recital class/ specialty classes/ Month of September tuition fully paid. The June payment is payable June 1st. Any outstanding balances paid after June 1st will incur $40 late fee. Your dancer will not be able to participate in the Year End show if any outstanding fees are not paid up to date. *Overriding your chosen payment plan to pay off the fees early is also accepted.
Date *
Date