Please print form below, complete, and mail with appropriate fee & tuition to:

DANCE, ETC!  Registration       15757 Coit Road, Ste. 340        Dallas, Texas  75248-4467

If you have any questions, please call Mimi at 972-385-9453.

==========================please cut & return=============================

DANCE, ETC!         2008-2009 REGISTRATION

(Please Print)

Name ________________________________________________________   Age _________

Address ___________________________________________ City / Zip _______________________

Phone (______)____________________        eMail _________________________________________ 

School ____________________________________  Grade __________________

Emergency Phone (_____)_________________________ Contact ______________________________

 Please list day and time of classes desired:

Classes                                                                              Days/Times                                                                                

                                                                                                                                                                                            

Registration & Semester Tuition Enclosed   $________________________

How did you hear about us? r Current or Former Student referral.  Who?  _____________________________________

r DE! Website    r Yellow Pages    r Newspaper     r Home Mailer   r My Mom took dancing at DANCE, ETC!

v   All tuitions are on a Semester basis and may be paid in monthly payments; tuitions and registration fees are non-refundable. Full Semester tuitions include Registration Fee (first semester) and Recital Fee (second semester) and earn a 5% discount when paid in full. No reductions for classes missed or holidays. The Studio holiday schedule follows the basic Richardson ISD calendar excluding teacher in-service days, etc. Make-up classes may be taken within 3 weeks of absence. Monthly tuition fees are due on the 1st class of the month; a $10.00 late-charge is added after the 10th of the month; returned check charge is $30.00. )   v  Students and parents release Dance, Etc! and its entities from any liability for any personal injury to student(s) arising from participation in a Dance, Etc! class, at a Dance, Etc! performance event, or incurred while on the premises of Dance, Etc!.

_______________________________________________                      _______________________

         Signature  (Parent's signature if under 18)                                                    Date