Amy’s School of Dance
Amy Durnan 515-468-0465
Enrollment Information
Dancer’s Name: ________________________________________________________________
Birthdate/Age: _________________________________________________________________
Parent’s Name: _________________________________________________________________
Address: ________________________________________________________________________
Phone #: ________________________________________________________________________
Cell #: _____________________________________________ Ok to Text?
Yes
No
Email Address: _________________________________________________________________
*Emergency Contact Name: ___________________________________________________
*Relationship: __________________________________________________________________
*Emergency Contact #: ________________________________________________________
Class/Day/Time: __________________________________
Class/Day/Time: ________________________________
Class/Day/Time: __________________________________
Class/Day/Time: ________________________________
Class/Day/Time: __________________________________
Class/Day/Time: ________________________________
Tuition Total: ______________________________________ $15 Registration Fee for all NEW students _____________
Amy’s School of Dance Policies 2015-16
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Tuition
Tuition payments are due the first week of each month. If tuition is not received by the 10th of each month, a
$10 late fee will be added to your account. The late fee will carry over from month to month until paid.
Tuition is a seasonal fee broken down into nine payments. It is not based on the amount of classes per month
and holiday closings are figured into this amount.
All returned checks will be charged a $25 fee. Accounts showing two returned checks will be asked to pay
remaining payments in cash.
If you have problems paying your account, please talk with the directors to discuss alternative payment
arrangements. We will try our best to accommodate a request for alternative payment plans. If you don’t
contact us, it will be assumed your account is delinquent.
Acceptable forms of payments are cash, check, debit/credit card.
Attire
Leotard and tights of any color are required for all classes – NO JEANS. Hair must be pulled away from face.
We will not compromise on this rule as it is for each child's safety. Boys wear a tight shirt and gym shorts. *Hip
hop students may wear loose fitting pants.
Shoe Requirement
TAP CLASSES - Tan tap shoe
BATON, JAZZ & HIP HOP- Tan jazz shoes *Hip Hop may wear a clean sneaker that has not been worn outdoors
BALLET - Pink ballet shoes
LYRICAL/MODERN – foot undeez
TUMBLING - Barefoot
CLOGGING - Black clogging shoes
Attendance
All students must attempt to attend all regularly scheduled classes. Good attendance is imperative, as absences
and tardiness can hold back an entire class. No refunds or make ups will be given for missed classes.
Snow and extreme emergency cancellations will be based upon the Winterset schools. If school is dismissed
early, there will be no dance class. If school is cancelled, dance class is cancelled.
Parents and children under 5 years old must remain in the lobby during the entire class.
If your child is not picked up on time, you may be subject to a fee up to $30 per half hour. Young students
should never be left unattended in the lobby.
Communications
Communication will be sent to the email address provided at registration as well as the website. Please read
these communications and be sure to check the website for updates!!! This is the best form of
communication we have for relaying important information. It is the parents and students responsibility to be
aware of what is happening at the studio.
Insurance
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Amy's School of Dance does not carry medical insurance for its students. It is required that all students be
covered by their own family insurance policies. In the event of an injury, it is understood that the student's own
policy is the only source of reimbursement.
Costumes
There will be a flat fee per costume. Each child size costume is $60, Adult size is $70. These will be broken up
into 2 payments (October & November), which will be added to your monthly tuition.
Costumes are not custom made and students are responsible for all alterations. If the studio does not feel your
costume needs to be exchanged for size and you request that it is, you will be responsible for all exchange and
shipping fees.
The recital fee is due with your APRIL tuition.
Drop/Change Policy
If you choose to drop a class or discontinue classes with Amy's School of Dance, you must fill out a
drop/change form with us by the 20th of the month. Informing the teacher or failure to report to class does not
constitute a drop. If a class is dropped after the 20th of the month the account will be charged for the following
month’s tuition and any applicable fees; accounts will continue to be charged until a drop/change form is
completed or written communication is provided to the directors.
In the event a student needs to change classes please complete a change form with the instructor by the 20th of
the month. Once the change request is processed the account will be updated and any difference in monthly
payment will be applied to the account unless otherwise instructed by the requestor.
Miscellaneous
• Pictures will be taken throughout the year and could possibly be used in promotions for the studio and/or
newspaper articles about the children's successes.
• We are NOT responsible for lost or stolen items.
• No food or gum allowed in any of the classrooms. You may bring in WATER ONLY to lessons.
• We reserve the right to refuse service.
No Refunds
We limit our class size and each child has reserved a spot that could have gone to another student.
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Amy’s School of Dance
Please keep pages 2-3 for your records
Signature Page
Amy’s School of Dance Policy Form 2015-16
I have read and understand the policies as stated above on the 2015-16 policies form.
Student’s Name: ____________________________________________________________________________________
Parent’s Signature: ________________________________________________________________________________
Date: ______________________________________
Amy’s School of Dance Liability Waiver
As a participant in any program or class of Amy’s School of Dance I recognize and
acknowledge there are certain risks of physical injury and I agree to assume the full risk of
injuries, damages connected with or associated with such program or class.
I agree to waive and relinquish all claims, or my minor child, may have as a result of
participating in any program or class against Amy’s School of Dance and its officers, agents,
employees and independent contractors.
I further agree to indemnify and hold harmless and defend Amy’s School of Dance and its
officers, agents, employees and independent contractors from my claims resulting from injuries,
damages and losses sustained by me or my minor child that arise out of, in connection with or
in any way associated with the activities of this program.
________________________________________
Parent Signature
Date
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Amy’s School of Dance Season Calendar
August 31, 2015
Classes Start
Registration Fee Due For
New Students
Aug 31- Sept. 3, 2015
-
Tuition due this week
October 1-7
-
Tuition due this week
October 10-11
Covered Bridge Performance & Float
Decorating
October 11, 2015
Covered Bridge Parade
October 12, 2015
NO school– but Yes dance
October 19-22, 2015
Bring A Friend Week
October 24-27
Wear your Halloween costume to class
November 2-6
-
November 2-6, 2015
-
November 23-27
NO CLASSES - Thanksgiving Break
December 1-7, 2015
December 21-Jan 1
Tuition due this week
Final Costume Payment
-
Tuition due this week
NO CLASSES - Christmas Break
January 4-8, 2015
-
Tuition due this week
February 1-5, 2015
-
Tuition due this week
February 15, 2015
NO School – But YES dance
March 1-7, 2016
March 21-25, 2016
-
Tuition due this week
NO CLASSES - Spring Break
Apr 4-7, 2016
-
Recital Fee Due
April 4-7, 2016
-
Tuition due this week
-
Tuition due this week
April 18-20, 2016
Picture Week
May 2-5, 2016
May 2, 2016
NO School – But YES dance
May 19-20, 2016
Stage Rehearsal Week
May 21, 2016
Recital (Henry C Miller Auditorium)
May 22, 2016
2nd Recital
*If Winterset Schools cancel due to severe weather there will NOT be classes that evening.
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