DARE TO DREAM
2009-2010 REGISTRATION FORM  

Students Last Name_____________________________________    

Student 1________________________Age_____Birthday____/____/_____
Student 2________________________Age_____Birthday____/____/_____
Student 3________________________Age_____Birthday____/____/_____ 
 

RESPONSIBLE PARTY:  

Name________________________________________________________
 Mailing Address________________________________________________

City___________________________________State______Zip_________
Telephone(        )_______________________________________________
Insurance Co.__________________________________________________
E-mail address___________________________(this will be used for personal communication & newsletter mailings only)

EMERGENCY INFORMATION: (someone other than above)  

Name________________________________________________________
Telephone(        )_______________________________________________
Relation______________________________________________________   

CLASS(ES) SCHEDULED:  

Student 1______________________________________________________
Student 2______________________________________________________
Student 3______________________________________________________  

 
PLEASE NOTE:  Any physical activity involving movement, twisting, or rotation can create the possibility of minor, serious, or even catastrophic injury.*  

*I have read and understand all of the above information as well as understanding that even with the most competent instructors, the best equipment, and strict safety guidelines, that injuries are still possible.  I hereby release Dare to Dream and its staff from claims on any injury which may have been sustained while voluntarily participating in its program.  

Signature________________________________________Date__________

DARE TO DREAM STUDIO POLICIES

33 Hawley St. Northampton, MA 01060  

Our goal is to provide a safe, fun, and creative environment in which each student can learn, grow,
and experience the joys of dance.

PAYMENTS  & CHARGES
Payments are made monthly and are due the first class of the month.    

1^st class  $35.00/month            *           Private ½ hour $60.00/month

         2^nd class $32.00/month            *           Semi private ½ hour $50.00/month

                                   3^rd or  +  $29.00/month            *           Unlimited Group classes $150.00/month/per student

*Classes with 3 or less students will be a semi private and will be charged as such.

*Months will be charged the same regardless of  3, 4, or 5 weeks.

*Registration: 1st student $15.00    Family $20.00   (paid every year)

*Costume deposits:  $20.00 per person per class, non refundable; due with October tuition

*Returned check fee: $20.00

LATE PAYMENTS will be charged a $5.00 late fee PER WEEK 

ABSENCES & MAKE UPS
All missed classes may be made up in another class of the same age group.  Missed classes should be made up in the month they were missed.  There are no make up classes after the end of April. 

ATTIRE
All students should have appropriate class attire with hair tied back.  

Predance 1: Pink Ballet Shoes & Black Tap Shoes.  Any color leotard and tights.

Predance 2: Black Jazz Shoes & White Acro Shoes. Any color leotard and tights.

Predance 3: White Ballet Shoes & White Acro Shoes. Any color leotard & tights.

Ballet: Pink Ballet Shoes, any color leotards & tights. Ballet skirts or knit warm up pants may be worn.

Jazz:  Black Jazz shoes; lace up or slip on.  Jazz pants or sweat pants may be worn with appropriate tops.

Acrobatics:  Leotards with bare legs or footless or stirrup tights.  Cotton shorts may be worn.

Tap: Black tap shoes, buckle, tie or strap are all acceptable.  Dance pants or skirts may be worn.

Hip Hop:  Black Hip hop/jazz sneakers; lace up or slip on, baggy clothes.

Lyrical: Tan half soles or dance paws.  Any color leotard and tights with dance skirt or knit pants.

REFUNDS 
No refunds will be given for registration, costumes or costume deposits.  If a student should decide not to continue

in a class, any left over money may be applied to a sibling or toward studio merchandise.  No refunds on quit or missed classes.  Absolutely no refunds on tickets after the recital.                         

SNOW DAYS
Please call the studio or tune to WGGB tv40, 

PHOTOS

Dare To Dream and it's staff will occasionally take photos and videos during class as well as having a professional photographer in to take class photos.  I give Dare to Dream full copyrights and use of any photos or videos. 

I HAVE READ AND UNDERSTOOD AND AGREE TO ADHERE TO ALL OF THE PREVIOUS INFORMATION.