Registration Form - Allegro Dance Studio

__503
__50303-263263-8568 / 120 NE 22nd Ave, Canby, OR 97013 / www.allegrodancer.com
Summer Dance Classes
Classes 201
2017
General Information
• Forms can be mailed to the address on the form or dropped off at the studio during operating
hours. Classes fill up quickly, so sign up soon!
• Registration must include full summer tuition payment, completed registration form and
signed release form. Class placement is assigned on a paid basis only.
• There will not be any costume or registration fees for summer session.
• Tuition is nonnon-refundable. There are no refunds given for missed classes.
• Multiple class discounts do not apply to summer classes.
Studio Location (Please do not mail Registration forms to this address)
Allegro Dance Studio is located at 655 SW 2nd Ave, in front of CHS and on the same road as
McDonalds. Heading south on 99E, take a left on Elm St. and a right on 2nd Ave. We are on the left
hand side of the road.
What to Wear:
Fairy Tale, CM & Pre-Dance:
All Ballet Classes:
Aerial Classes:
Contemporary:
Hip-Hop:
Tap:
Acrobatic Camp:
Musical Theatre Camp:
Dance Camp:
Any colored leotard, pink tights, pink split-sole leather ballet
slippers, hair pulled back into a bun or ponytail.
Black leotard, pink tights, pink split-sole canvas ballet slippers.
Hair must be in a bun.
Black leotard, dance shorts or Capri dance pants to show your
calves for climbing the fabric. Hair pulled back into a ponytail.
Black leotard, black dance pants/capris, nude foot paws. Hair
pulled back into a ponytail or bun.
Comfortable clothes you can move in. Black leotard, tank or fitted tshirt, black dance pants or Capris, black jazz shoes or clean
tennis shoes.
Black leotard, black dance pants/capris, black tights. See our
dance store on our website for the correct Tap shoes. Hair
pulled back into a ponytail or bun.
Black leotard, dance shorts or Capri dance pants. Hair must be
kept out of face, low ponytail with sides pinned back or two side
ponies. No jewelry.
Comfortable clothing you can move around in. Socks or dance
shoes. Hair must be pulled back out of face.
Black leotard or fitted shirt (No tummy or mid-drift showing),
black tights, fitted dance pants or unitard, black jazz shoes or
black ballet slippers. Hair pulled back out of face into ponytail.
Please check our website www.allegrodancer.com for studio policies.
policies
201
2017 Summer Schedule
(We will fill all classes on first come, first serve basis)
TUITION
DATES
TIME
$60
$60
Jul 24-28
Aug 7-11
9:30-10:15
9:30-10:15
$60
$60
Jul 24-28
Aug 7-11
10:30-11:15
10:30-11:15
$75
$75
$60
$60
$60
$60
July 10-14
Jul 17-21
July 10-14
Jul 17-21
July 10-14
Jul 17-21
9:15-10:30
9:15-10:30
10:30-11:30
10:30-11:30
11:30-12:30
11:30-12:30
$60
$60
$60
$60
$60
$60
Jul 17-21
Aug 21-25
Jul 17-21
Aug 21-25
Jul 17-21
Aug 21-25
1:00-2:00
1:00-2:00
2:00-3:00
2:00-3:00
3:00-4:00
3:00-4:00
$60
$60
$60
$60
Jul 10-14
Jul 10-14
Jul 10-14
Jul 10-14
1:00-2:00
2:00-3:00
3:00-4:00
4:00-5:00
Ages 7-9
Ages 10-12
Ages 13 & Up
$60
$60
$60
Aug 21-25
Aug 21-25
Aug 21-25
1:00-2:00
2:00-3:00
3:00-4:00
Ages 13 & Up
Ages 10-12
Ages 7-9
$60
$60
$60
Jul 10-14
Jul 10-14
Jul 10-14
1:00-2:00
2:00-3:00
3:00-4:00
TUITION
DATES
TIME
$150
Aug 14,16,17
Aug 18
9:00-12:00
9:00-3:00
TUITION
DATES
TIME
$150
Jul 17-21
9:00-12:00
TUITION
DATES
TIME
$150
Jul 10-14
9:00-12:00
TUITION
DATES
TIME
Ages 6-7
$150
Jul 24-Aug 10
(Tue/Thu)
10:30-12:45
Ages 8-10
$225
Jul 24-Aug 11
(Mon/Wed/Fri)
10:30-12:45
SUMMER DANCE CLASSES
FAIRY TALE BALLET
Age 3-4
Studio E
CM & PRE-DANCE CLASS
Age 4-5
Studio E
BALLET CLASSES – Age 10 & Up
Intermediate / Advanced Ballet Technique
Studio A
Pointe Preparation
Studio A
Beg Ballet Technique
Studio A
AERIAL CLASSES – Age 6 & Up
Beginning (New to Aerial – did not take this past year at the studio)
Studio D
Beginning / Intermediate
Studio D
Intermediate / Advanced
Studio D
TAP CLASSES – Age 7 & Up
Studio C
New To Tap (Never Tapped Before)
Beginning Tap (1-2 year of Tap)
Intermediate Tap (3-4 years of Tap)
Intermediate/Adv. Tap (5 or more years of Tap)
CONTEMPORARY – Age 7 & Up
Studio B
HIP-HOP CLASSES – Age 7 & Up
Studio B
SUMMER CAMPS
MUSICAL THEATRE CAMP (Ages 8 & Up)
This class teaches the basics of acting and listening on stage. Improve
memorization skills, increase stage presence and preparation for
auditions. Student must be able to read & willing to sing.
DANCE & CHEER CAMP (Ages 6 & Up)
Your week will be filled with dancing, fun and friends. You will learn a
dance & cheer routine as well as an all camp dance and a hand routine.
It’s a week of dancing, cheer & fun!
ACRO & TUMBLING CAMP (Ages 6 & Up)
Acrobatic movement combines tumbling, spring, limber, and balance
skills. Students will strengthen their bodies with flexible, controlled, and
agile movements.
JR. BALLET INTENSIVE CAMP (Ages 6 & 10)
These dancers will have an hour of Ballet each day, an hour
of Aerial, Contemporary & Jazz each week. They will also
cover Dance/Ballet History, Stage Acting, etc…
It is three weeks of dancing & fun!
__503__503-263263-8568 / 120 NE 22nd Ave, Canby, OR 97013 / www.allegrodancer.com
Summer Dance Classes 201
2017
STUDENT NAME
AGE
GRADE (2017-2018)
MAILING ADDRESS
SCHOOL
CITY
ZIP
E-MAIL ADDRESS (We do most of our communication by email)
HOME PHONE
MOTHER’S NAME
WORK OR CELL PHONE
FATHER’S NAME
WORK OR CELL PHONE
EMERGENCY CONTACT NAME
(Someone not living with you)
PHONE NUMBER
RELATIONSHIP
Please list the class(es) you are registering for: (one student per registration form)
Week
Time
Class
Cost
Summer Tuition Total $
(Refer to class tuition on schedule info sheet.
No Refunds or discounts given on Summer Classes.)
Please mail registration to: Allegro Dance Studio 120 NE 22nd Ave, Canby, OR 97013.
Enclose the following:
1. Completed Registration Form
2. Signed Release Form (back of form)
3. Payment for Summer Session
(Tuition must be paid in full in order to hold your place in class/please note
no refunds for missed classes.)
ALLEGRO PROPERTIES, LLC
ALLEGRO DANCE STUDIO, LLC
AGREEMENT CONCERNING USE OF PREMISES
AND RELEASE AND WAIVER OF LIABILITY
ALLEGRO PROPERTIES, LLC, is the owner of real property commonly described as 655 SW 2nd Avenue, Canby, Oregon.
ALLEGRO DANCE STUDIO, LLC, is a tenant of ALLEGRO PROPERTIES, LLC. ALLEGRO PROPERTIES, LLC, and
ALLEGRO DANCE STUDIO, LLC, are collectively referred to as “ALLEGRO”. As used herein, the word “User” means the
Participant and/or the Participant’s parents or legal guardian.
Name of Parent or Legal Guardian:
Name of Participant:
For the opportunity to participate in ALLEGRO instruction, classes, rehearsals, recitals, and all other activities instructed by
ALLEGRO, its organizers, teachers and other persons assigned to assist teachers, referred to as the "Program,". Users agree
that:
STUDIO WAITING POLICY:
ALLEGRO does not have a large waiting area available or a dressing room. Consequently, Users agree as follows:
Participants are to be dropped off and picked up on time. Participants must wait inside the building to be picked up. ALLEGRO
shall not be responsible for Users before, between or after class. Participants shall not be left unattended during non-instruction
times. Consequently, parents shall remain on the ALLEGRO premises until class begins and shall promptly pick up the Participant
at the close of the ALLEGRO class. There are no supervisors during non-class hours. Consequently, ALLEGRO and its
agents/instructors are not responsible for the care of Participants prior, between and after instruction. No Participant may enter a
dance room without a supervising instructor present.
RELEASE AND WAIVER OF LIABILITY:
1. User understands in consideration of registration or participation in ALEGRO programs, classes and sponsored
events, the above named User acknowledges and accepts the risks and inherent hazards of participation in the Program, classes,
rehearsals, recitals, or other sponsored activities and events sponsored or conducted by ALLEGRO or other persons assigned by
ALLEGRO to teach, direct or assist in these sessions and events. The User hereby elects to voluntarily participate in such
Program or sponsored events and hereby voluntarily assumes all risks of loss, injury and damage, including personal injury that
may be sustained as a result of participation in said Program or sponsored events.
2. User understands and acknowledges that its participation in the Program may be dangerous as the Program includes
climbing aerial equipment, hanging from aerial equipment, physical exercises and stretches and other physical movement.
These activities may involve serious risks of bodily injury, property damage, or both. User also understands and acknowledges
that the losses or damages which can result from these risks can be severe and that not all risks may be known or reasonably
foreseeable. User accepts the responsibility for losses or damages resulting from all risks involved in participation in the Program.
Injuries such as fabric or rope burns, pulled muscles, collisions with other participants and falls that could result in broken bones or
other serious bodily injury are possible when participating.
3. User agrees to take appropriate precautions for its own safety and that of others when participating in the Program and
further agree that, before participating User will inspect the facilities and equipment to be used and will, if User believes anything
is unsafe, immediately advise the person in charge of that unsafe condition and will refuse to participate.
4. User further agrees to grant ALLEGRO, its owners, instructors, employees and agents the right to photograph or video
User during Users participation in the Program. User understands that any photographs or recordings may be used by ALLEGRO
for marketing and promotional purposes, at their sole judgment and discretion, without compensation or credit to User.
5. In consideration of ALLEGRO allowing participation in the Program, ALLEGRO hereby agrees on behalf of itself and
Participant, to indemnify ALLEGRO, its owners, instructors, employees and agents from any claim or demand on account of injury
or damage which Participant/User may suffer as a result of participation in the Program whether on ALLEGRO premises or
elsewhere and whether caused by the negligence of ALLEGRO, its owners, instructors, employees and agents.
6. On behalf of Users, we hereby release, waive and discharge ALLEGRO, its owners, instructors, employees and
agents from all liability to Participant/User or any and all claims, demands, losses or damages on account of any injury, including,
but not limited to, bodily injury, death, loss of income or damage to property arising out of a child’s participation in the Program.
7.This Agreement includes but is not limited to, claims or demands on account of injury or damage caused or allegedly
caused by the negligence of ALLEGRO, its owners, instructors, employees or agents.
I HAVE READ THE ABOVE USE OF PREMISES AND RELEASE AND WAIVER OF LIABILITY AGREEMENT AND
UNDERSTAND THAT BY SIGNING IT I HAVE GIVEN UP SUBSTANTIAL RIGHTS. I SIGN THIS AGREEMENT VOLUNTARILY.
User (Parent of Participant/Child) Signature
Address of Participant/User
Date