30th Anniversary Year

Class Registration

I hereby register my child at Southwest Contemporary Dance Threatre. Monthly invoices are not sent to students. Tuition is due by the 7th of each month. A $10 late fee is due for the tuitiion paid after the 7th.

 

I agree to pay annual student registration and insurance fee of $25 per family per year. If my child discontinues dance for any reason, the registration is forfeited. There are no credits or refunds for missed classes. A WRITTEN 30 DAY NOTICE IS REQUIRED TO DROP A CLASS OR TUITION WILL CONTINUE TO BE BILLED TO YOUR STUDENTS ACCOUNT.

 

I agree to pay the returned check fee of $25 for any check returned to the bank.

 

RELEASE: I hereby release Southwest Contemporary Dance Theatre and all teachers, staff, etc from all claims of damages or injury suffered by the registered student in connection with their association with Southwest Contemporary Dance Theatre. This includes my heir who may not act in my behalf.

 

I have read and understand the terms of the above contract and the program information sheet and agree to abide fully by it's terms.

Generated with MOOJ Proforms Basic 1.1
* Required information.
1st Dancer 1st Name *
1st Dancer Last Name *
Mother's Full Name *
Father's Full Name *
Dancer's Preferred Name
Dancer School and Grade *
Dancer Age *
Gender *
Girl
Boy
Mailing Address *
Residence (if different from mail address)
Home Phone *
City *
State *
ZIP *
Cell Phone
Emergency Contact *
Email
Classes Registered *
Tuition if paid by the 7th
2nd Dancer First Name
2nd Dancer Last Name
3rd Dancer First name
3rd Dancer Last Name

558 E Riverside Dr #111

St George, Utah 94790

435  652 4587

This e-mail address is being protected from spambots. You need JavaScript enabled to view it.