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1 Student Registration Forms Season-Sept-10 th 2018-June 15 th 2019 Location: Shallow Lake Community Church Hwy.6 Please Print Students Name: Age Address: City: Province: Postal Code: Date of Birth (M/D/Y): Home Phone: Previous Training/School (s): Number of Years: Present Level: Parent/Guardian: Relationship: Home Phone: Cell Phone: Place of Business: Business Phone: Ext: Parent/Guardian #2: Relationship: Home Phone: Cell Phone: Place of Business: Business Phone: Ext: Emergency Contact: Relationship: Phone: Medical Information to be kept on file:
2 Schedule Fitness classes Contact Us or Monday Studio 1 Studio 2 Times Times 4:30-5:15 Beginner Highland 5:15-5:45 Primary Highland 5:45-6:15 Creative Movement (3 years) 6:15-7:15 Ballet Grade 4 /5 7:15-8:15 Jazz-Drills and Conditioning (turns/jumps) 8:15-9:15 Couples Fitness and Boot Camp Tuesday 4:30-5:00 Jr. Hip Hop Conditioning/Warm up 5:00-6:00 Jr. Hip Hop Class 5:00-6:00 Zumba 6:00-6:45 Kids Hip Hop 6:00-6:45 Boys Hip Hop (7-12) 6:45-7:45 Hip Hop Choreography for Competition Wednesday 4:45-5:30 1st/2nd year Modern (7-11) 5:30-6:30 Grade 1/2 B Ballet 7:30-8:30 Boot Camp Signature Competitive Group 6:30-8:30 Contemporary and Choreography Thursday 5:15-6:00 Primary Ballet (6-7 years) NA NA 6:00-6:45 1st Steps (4-5 years) 6:45-7:30 Target Toning 7:30-8:15 Teen Beginner/Adult Ballet Saturday Workshops/Rehearsals Sunday Noon Zumba Strong
3 Check the box(es) of your choice. 2 nd, 3 rd etc. classes receive 10% off. *The warm up/conditioning class is mandatory to part take in the Jr. Hop Hop class.
4 Terms of Enrolment Please read and initial each statement. Contact Us or Studio Copy Please read and initial each statement, indicating that you have read and understood the information below. Please visit: dixonsdanceandfitness.com for a full list of the Policies and procedures 1. Monthly payments are due the 20 th of each month. Pay period starting August 20 th 2018 and ending May 20 th This applies to The Signature Competitive dancers only. 2. There is a $25 + HST registration fee payable on the initial registration in each school year. 3. There are NO refunds except in the case of cancellation due to insufficient registration or with a Dr. s Certificate. 4. ALL classes with the exception of the Creative Movement (3 years) require a full season commitment (Sept.-June). Therefore, you are responsible and required to fulfill this commitment financially. 5. This is NOT a Month-to-Month program, but a full year commitment. 6. Year End Performance: Friday, June 14 th and Saturday, June 15 th 2019 The Location will be at the Shallow Lake Community Church Perish. 7. There is a non-refundable $75 Performance and Costume fee- Due upon Registration. 8. There will be rehearsals that are Mandatory for ALL dancers participating in the Year End Performance to attend. The dress Rehearsal on Thursday, June 13th th Studio Photography-Saturday May 25th, All Dancers are to attend. Schedule and Location TBD. Individual & Group Packages will be available for purchase. These forms will be available and are to be filled out and handed in prior to May 25 th. 10. Classes cancelled throughout the year will try to be made up at during the season. This applies to cancelled classes due to the teacher s illness but does not apply to cancelled classes as a result of adverse weather conditions. 11. All registration forms must be signed and dated to commence classes. 12. Fees are due in full at the time of registration according to the payment policies.
5 Studio Copy 13. Family Discount 15% for the 2 nd child, 10% for 3 rd and 4 th etc. (before HST, must be mentioned at time of registration) for each additional child (discounts are applied to the lesser of the amounts, cannot be combined, cannot be applied to fitness classes). Second and third etc. class discounts may apply depending on the class as some already include discounted prices. 14. $45 +HST fee will be charged for all NSF cheques, all further cheques must be certified or cash only. 15. An additional $15+ HST, fee will be charged for late payments. 16. I require 21 days written notice if discontinuing from a program. Payments for the rest of the year will still be required. Waiver 2018/2019 Season I, the undersigned, release Heather Dixon s Dance and Fitness from any and all liability. Signature on this release form indicates that I have read and understood ALL information, policies and procedures. The Studio may use all photography & video for promotional purposes X: Date: Signature of Parent or Guardian
6 Select Method of Payment Payment in Full or in Two installments Cash Cheque (s) 2 cheques post-dated Aug. 20 th Term 1 and Jan. 20 th Term 2 Credit Card: Visa / MasterCard pay in full or Two Terms. E-Transfer Aug 20 th and Jan. 20 th (Terms 1and 2 or paid in Full) Debit/Tap/CC Tap. Fees payable to Dixon s Dance and Fitness Studio Mailing Address: th St. East Owen Sound ON N4K 1R1 E-Transfer E-transfer to: heatherannedixon@hotmail.com Please use the student s first name for the password. Please specify in the E transfer what the payment is for. Credit Card Visa and MasterCard can be processed immediately by filling out the information below, or can be made at the studio. Visa MasterCard Credit Card #: Security Code: Expiry Date: Name of cardholder: Postal Code: Please Note: Credit card information will not be kept on file. Payment by credit card is available only when paying in full for the full term or full year. Student / Guardian Signature: Date:
7 Dixon s Dance & Fitness Studio Information for 2018/2019 Holidays (No Classes): Thanksgiving Monday October 8 th, 2018 Halloween Wednesday, October 31, 2018 Christmas Holidays Monday December 24, 2018 Sunday January 6th, 2019 Family Day Monday, February 18th, 2019 March Break Monday March 11th- Sunday, March 17th, 2019 Easter Weekend - Friday, April 19th Good Friday to Monday, April 22 nd 2019 Victoria Day Weekend Monday, May 20th, 2019 Special Events and Classes Halloween- Wear your costumes to class Oct. 24 th, 25 th, 29th & 30th Parent Viewing Week-December 10 th -13th Dance and Fitness for the Heart Week- February 11 th -14t th Children s Classes Age 2-6-Daddy Daughter Dance!!! Bring a Friend to class!! Wear pink and red! Year End Performances- Friday June 14 th, 7 pm and Saturday June 15 th 7 pm Mandatory Dress Rehearsal- Thursday June 13 th. TBA *Studio Photography-Saturday MAY 25 TH All Dancers are to attend. The Schedule and Location TBD. Individual & Group Packages will be available for purchase. These forms will be available and are to be filled out and handed in prior to the 25 th. Make up day due to weather will be Saturday June 1 st Additional Fees Approx. fees Workshops $25-$85 Studio Photography (Mandatory to attend) $15-$115 June Show DVDS $35 Dancers Dress Code Attire (Mandatory) Cathy Thede-Dress Code Page Ballet Exams 2018 NA in 2019 $300--$600 Depends on Level June show Fee (Mandatory) $25 June show Costume (mandatory) $ per costume
8 Dixon s Dance and Fitness Studio Dress Code 2018/2019 (Prices and class attire are subject to change) All class dress code is to be purchased from Cathy Thede at Steppin Out Contact Information: Steppin-out@hotmail.com Member Copy Creative Movement & 1st Steps SoDanca Black Tank Body Suit Style #6094 $30.00 Mondor Pink Convertible Tights #319 $18.00 SoDanca SD48 Stretch Canvas Ballet shoe $30.00 Primary Ballet SoDanca #6094 Pink Tank Body Suit Style #6094 $24.00 Mondor Pink Convertible Tights #319 $18.00 SoDanca SD48 Stretch Canvas Ballet shoe $30.00 Standards and Grades 1-3 Body Wrappers #2614 Body Suit Purple $40.00 Mondor Pink Convertible Tights #319 $18.00/$22.00 SD 16 Canvas Split Sole Ballet shoe $35.00 Standards and Grades 4 to Advanced Classes SoDanca #4670 Body Suit Purple and Black $45.00 SD 16 Split Sole Canvas Ballet shoe $35.00 Mondor Pink Convertible #319 Tights. Adult Sizing $22.00 Hip Hop & Kids Zumba Students should wear something that is true to hip-hop culture, that they can move and sweat in comfortably, and that reflects their personal style. Students must wear some form of indoor sneakers
9 All Modern and Contemporary Classes Black /Purple body suit Black Footless tights or Nude Stir up tights $18.00 Black shorts or leggings are accepted. Bare feet Conditioning and Dance Technique/Drills for the Dancer Body suit and tights or shorts (must be able to see the body and posture clearly) All Highland Classes SoDanca Black Tank Body Suit Style #6094 $24.00 White knee Socks $7.00 (with elastic garters) Black shorts $20.00 Highland shoes Fitness Classes: Comfortable clothing that is easy to move in Indoor running shoes Adult Ballet requires ballet shoes Boys/Men Black Shorts- $20.00 White t-shirt (Walmart) White ankle socks $6.00 or black tights Black Ballet shoes $35 and up or Bare feet for Modern. *All prices subject to tax. 5% tax on children s wear and 13% tax on adult wear.
10 Contact Us or
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