VIVETTE’S DANCE STUDIO 08-09 CLASS SCHEDULE
1102 Armory Rd, Salina, Ks 67401
Classes begin September 2, 2008 785-827-3396
www.vivettesdance.com
Please enclose $10.00 per student, $15.00 per family Registration fee with SIGNED CONTRACT on back side.
Returning before August 15, will help us to make any necessary schedule changes.
New Student registrations accepted through Dec. 30th if space available.
DANCERS NAME:
________________________________________________________________________________
PARENTS/ GUARDIAN’S NAME:___________________________________________________________________
ADDRESS:
_______________________________________________________________________________________
HOME PHONE:_____________________ Mom cell :________________________ Dad cell:
_______________________
**email address: (please print) _________________________________________________________________
BIRTHDATE:_______________ GRADE:______________________ SCHOOL:
_______________________
MEDICAL or other SPECIAL INFORMATION (ADD, Diabetes, Epilepsy, custody situations, etc) that I should know:
I would like to register my dancer for the following classes.
CLASS /LEVEL DAY/TIME
1.
_____________________________________________________________________________________________
____________
2.
_____________________________________________________________________________________________
____________
3____________________________________________________________________________________________
_____________
4____________________________________________________________________________________________
_____________
Starfeet: _____ Mini _____Rising _____ Junior ______Senior
Fees: See Class Break Down Page:
Easy for you and me… pay your tuition by credit card … no more late fees!
Credit card
#____________________________________________________________________________________________
___
Type of card:
_____________________________________________________________________________________________
__
Expiration date ________________ 3 digit code on back of card: _______________________
Name on card:
_____________________________________________________________________________________________
_
Mailing address if different from dancers address:
__________________________________________________________________
_____use card EVERY MONTH
____ use card ONLY if fees are not current by 15th of month.
VIVETTE’S DANCE STUDIO
1102 ARMORY RD
SALINA, KS 67401
CONTRACT OF AGREEMENT
(Please sign, date, and return with completed registration form and registration fee in order to enroll your dancer.)
REGISTRATION FEE - Your registration form and signed Contract of Agreement are necessary to reserve your
position. A non-refundable fee of $10.00 per student/$15 per family is due by August 15th.
MONTHLY FEES - Due the first class session of every month. If a family is enrolling more than one child, the first
child's instruction is full price. Additional siblings receive a $5/mo. discount. Termination of services by the
parent/guardian must be done in writing and dated, in order to avoid future billing. All payments may be brought to the
studio during business hours, mailed in, or deposited in our secure locking mailbox. Payments may be made by Credit
card, check, or money order. Cash payments should be made to our desk personnel so they can write out a receipt.
LATE FEE - There is a $15 late fee per month for lessons paid after the 15th of the month , and for late costume fees.
This is non-negotiable. Unpaid fees may result in student not being allowed into class, expulsion from the recital, the
inability to sign up for future classes, and your debt being turned over to a collections agency.
DROP-OUT FEE - Students withdrawing from Vivette’s Dance Studio the 2nd semester (Jan. 1st-recital) create
problems for the other dancers as well as the teachers, as choreography must be changed to accommodate their
absence. Therefore, a Drop-Out fee equal to a month's tuition for the number of classes dropped will be assessed to
your account.
RECITAL FEE - $25 single student/ $30.00 family is due by October 30th for those who want to participate (non-
refundable after Jan. 1st). Costume Deposits for Recital costumes are due by Dec. 15th. Costumes are ordered
before Dec 31st, after which parents are held liable for their child's costume expenses. If you do NOT intend to get
costumes, you MUST inform the studio before Christmas Break, or pay a $15 per costume cancel fee.
RETURNED CHECK FEE - There will be a $30 charge on all returned checks.
DRESS CODE: All dancers are expected to abide by the dress code.. Non-compliance may result in a student not
being admitted to class.
NOTICE: Vivette’s Dance Studio takes photos and video’s of our dancers in the studio and at performances. Vivette’s
Dance Studio has the right to use these images for publicity and commercial purposes on our website, newspaper ads
and TV commercials. No compensation will be given for the use of these images. If you do not want us to use your
dancers image you must notify us in writing.
I agree to abide by the above conditions stated by VIVETTE‘S DANCE STUDIO. Furthermore, I understand that failure
to comply with these conditions may result in the termination of services provided to me by VIVETTE‘S DANCE
STUDIO, and all outstanding debts shall be paid in full by the recital date.
Parent/Guardian Signature:___________________________________________________
Date:________________________