You are on page 1of 1

Just Dance Team Contract

Dancers Name______________________________________________Date of Birth_________________________


Dancers Name______________________________________________Date of Birth_________________________
Dancers Name______________________________________________Date of Birth_________________________
Address_________________________________________City______________________Zip_________________
Cell # _______________________Home #________________________Referred by _________________________
Email Address (required) _________________________________________________________________________
Parents/Guardian Name__________________________________________________________________________
Emergency Contact ___________________________________________Phone #___________________________
(Other than above)
Please list any medical conditions, physical disabilities, allergies, or limitations of movement your dancer may
have.________________________________________________________________________________________

Class, Tuition and Fee Outline


st

1 Class_________________________________________________________Tuition $______________________
2nd Class________________________________________________________ Tuition $______________________
3rd Class_________________________________________________________Tuition $______________________
4th Class_________________________________________________________Tuition $______________________
5th Class_________________________________________________________Tuition $______________________
Family Discount $-_____________________
Total Tuition Due Each Month $________________ X _________________ Months =$_____________________

10% off tuition if paid in full, 5% off tuition if paid in 3 month installments.
Team Fee- Treats $________ + DVDs $ _________+ Attire $____________ = ________________Due at Registration
Registration Fee $____________________________

Winter Recital Fee $______________Due Oct. 1st

Winter Costume Fee $___________________________+ $12 Tights =________________________Due Oct. 1st


Spring Costume Fee $___________________________ + $12 Tights =________________________Due Nov. 1st
Competition Fee $_______________Due Jan. 1st

Spring Recital Fee $______________Due Mar. 1st

Total Yearly Amount $_____________________________

Paid $__________________ #_________________

By signing this form, the parent/guardian is assuming any and all responsibility for the
student, including financial obligations. The parent/guardian also agrees that in the event of injury at
Just Dance Studio; the parent/guardian is solely responsible. The parent/guardian signing below has
also received a copy of the Studio Policies, and has read and understands all policies. I understand
that photographs & videos may be taken and used for the promotion of Just Dance Studio. I agree
that they may be used and not limited to brochures, literature, website, newspaper advertising, etc
Signature________________________________________________Date__________________
Director Signature_________________________________________Date__________________

You might also like