Classes are for ages 3 years old to Adult.  To sign-up for Dance, Acting and Tumbling classes, simply print out the Registration form below and bring the completed Registration Form to the studio or click link to register online at http://www.rhythmelements.com/online-payment via our website.  Any questions or assistance needed, please feel free to call us at (770) 787-4333.  

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RHYTHM ELEMENTS DANCE STUDIO

                                                                                                                       Session: _________________________________

                                                                                                                       Sign-up Date: _____________________________

New Student Registration Form

Student Information

Student’s Name: _______________________________ Date of Birth (MM/DD/YYYY): _______________

Mailing Address: ______________________________________________________________________

Primary Phone: ________________________________ Phone (2): _____________________________

Name of Person responsible for paying fees: _______________________________________________

Primary Email Address: ________________________________________________________________

Primary Billing Phone # ______________________________

Legal Release and Policy Acceptance (please initial)

___ I/we understand the Studio Policies                                     ___I/we understand my billing obligations

___ I/we understand the risks related to dance                       ___ I/we understand my responsibilities for my property

___ I/we understand the dress code                                             ___ I/we understand the schedule

___ I/we give media use rights permission                                ___ I/we understand the attendance policy

___________________________________                               ____________________________________

Signature / Responsible Party                                                         Date

Classes

Class Name                                                      Meeting Date(s) / Time                                       Fees / Minutes

_____________________                          ________________________                          __________________

_____________________                          ________________________                          __________________

_____________________                          ________________________                          ___________________

_____________________                          ________________________                          ___________________

Please fill out all that applies:

Registration Fee: _______________                                                                      Showcase Fee: ______________

Tuition: ______________________                                                                       Costume Fee: _______________

Discounts: ____________________                                                                       Comp Fees: ________________

Total Monthly Tuition __________                                                                       Private Lessons Fee:__________

Measurements

_____ Height                       _____ Girth                         _____ Tights Size

_____ Shoe Size                 _____ Inseam                    _____ Leotard Size

Medical

Allergies: ____________________________________________________________________________

Will your child require any special medical attention during a normal class: (yes/no) ______________

If yes – Explain: _______________________________________________________________________

[ ] – Recorded [ ] Paid in full [ ] On hold Processed by: ________ Special Notes: ________________

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"The preschool dance program is fantastic! My child has lots of fun learning in a structured environment and making new friends." ―Lisa K.