Please enroll _________________________________________________________________

Date of Birth ______________________________________ Age: ______________________

Address ______________________________________________________

City ____________________________________________ State ___________ Zip ________

Telephone Home ______________________________ Business ________________________

E-mail Address ______________________________________________________________

in the following classes:

Studio

Type

Day

Time

Class length

for a total number of hours per week _________________________________________________________

I have read the tuition rates and methods of payment. I elect to pay as follows:

_ In Full

_ Half at Registration, Half in January 2008

_ Monthly, eight installments

Tuition/ This portion of tuition
Registration fee:

TOTAL ENCLOSED:

$______________
$______________

$______________

I understand that no student is accepted for less than half the season, regardless of attendance or method of payment. A student who remains in class after January 7 or enrolls at that time is responsible for the season for mid-January—May. No refunds will be made for any reason whatsoever. A student may make up classes missed due to sickness or out-of-town trips only. Lessons must be made up within one month. The Academy is not responsible for personal injury or loss of property.

Address and telephone number if different from Student's

Make checks payable to Academy of Dance Arts. MAIL TO 901 RUGBY ROAD.
Advance Registration may be completed by mailing this application with your check. You will be notified of class schedule, if necessary.