Register Online

Joy of Movement Dance Center - 215-262-0637
Redeemer Luthern Church Hall, 2100 York Road, Jamison, PA 18929

Parents:

Thank you for choosing Joy of Movement Dance Center for your child’s dance education! Please complete the registration form below, click send and someone will contact you within 24 hours. If you have any questions, please contact Miss Shannon at 215-262-0637 or email info@joyofmovmentdancecenter.com.

Please Note: All information is required!

Do not fill in:

Name (of dancer):

Age:

Date of Birth:

Parent(s) name:

Address:

Home phone:

Cell phone:

Parent email:

Emergency contact/phone:

Any medical conditions:

Class Day:

Time:

Teacher:

Class Day:

Time:

Teacher:

Class Day:

Time:

Teacher:

Class Day:

Time:

Teacher:

Class Day:

Time:

Teacher:

Monthly Fee:

Registration Fee ($20):

Total Amount Paid:

Cash

Check #

*Tuition is one price broken into 10 monthly payments and is not based on a per class fee.

* Tuition is due the 1st of each month and payments received after the 5th of the month will incur a $10 late fee.

*There will be a $30 fee for any bounced checks.

*I, the undersigned agree to release and hold harmless of all liability Joy of Movement Dance Center, LLC, its employees and volunteers from any claim, demand or cause from injury to the above named participant or damage to his/her personal property which is in any way connected to Joy of Movement Dance Center, LLC programs and hereby acknowledge that you are knowingly and voluntarily assuming full responsibility for all risks of physical injury arising out of active participation in a dance class or any other dance related activity. I understand there are no refunds for any registration fees, costumes, date nights or classes. I understand that my child must have this release signed before attending class.

Parent signature:

Please type your full name

Date:

	10 payments (due 1st of month)	1 Annual payment (due by Sept. 1st)
1 class/week	$56	$504
2 classes/week	$104	$936
3 classes/week	$144	$1,296

*Additional classes beyond 3 classes/week are billed at $35 month per class.
*Dance pass option: $240/month unlimited classes (does NOT include private lessons).
*Performance Team classes: $90 (includes team class + ballet), all additional classes billed at $37

Solos-$45/30 mins –-Duets-$22 (per dancer)/30 mins –-Trios-$13 (per dancer)/30 mins

All payments can be sent to:
Joy of Movement Dance Center, PO Box 543, Jamison, PA 18929

refresh

copy the digits from the image into this box