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    Balleraena Dance

    Studio

     Raena Hillman

    Registration Form

    & Payment Schedule

     Click here to view 9- month Fall/Spring Schedule

    Click here to view Summer Schedule

    Click here to view Summer Camp Schedule

    Click here to view Christmas Show Schedule

     

     Date: _________ Student’s Name: ___________________________ Age___ Grade (9-1-08)_______

     Parent’s Name(s)__________________________________________________________

     Address_______________________________________ City______________ State_____ Zip_______

     Home Phone________________________ Emergency Phone______________________

     Email address: ___________________________________________________________________

                                                      

    Check choice

    Dance

    Category/Form

    Class Level, Camp Name or Special Performance

    (e.g.:  grade/age, Beginning, Intermediate, Advanced, Adult)

    Session

    (e.g.:  9-mo, camp, special performance, summer, etc)

    Day

    Time
     

    Ballet

    		       
      Camp        
     

    Cheer

    		        
     

    Combo

    		       
     

    Company

    		        
     

    Creative Movement

    		        
     

    Funk

    		        
     

    Hip Hop

    		        
     

    Jazz

    		       
     

    Lyrical

    		        
     

    Modern

    		        
     

    Musical Theatre

    		        
     

    Pilates

    		        
     

    Pointe

    		        
     

    Pom/Drill Team

    		        
     

    Private Lessons

    		        
     

    Stretch

    		        
     

    Tap

    		        
     

    Tiptoes

    		        
     

    TuTus

    		        
      Christmas Show        
     

    Other (write in)

    		        

                 

                                                                Waiver and Release of Liability

    In consideration of my involvement in dance at Balleraena Dance Studio L.L.C., wherever those activities take place, I acknowledge and agree that I risk bodily injury. I knowingly and freely assume all risks, an I, for myself, and for my heirs, assigns, and next of kin, hereby release and hold harmless Balleraena Dance Studio L.L.C. its officers, officials, agents and/or employees, with respect to any and all such injury. I HAVE READ THIS WAIVER AND RELEASE OF LIABILITY, AND UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND I  SIGN IT VOLUNTARILY.

    Student’s signature:______________________________________________Date:___/___/___

     

    Parent's signature:_______________________________________________Date:___/___/___

    (Parental Signature required if student is under 18 years of age.)

                                                                     

    INSTRUCTIONS:

     

    ·         Please print and complete this form. Spaces will be filled in the order registrations are received. Enrollment is limited. Absolutely no registrations will be accepted September-December for the 9-month session, unless there is space available in the class. Mail the completed form and registration fee(s) (see Payment Schedule below) to reserve a space for your child.

    Raena K. Smith Hillman

    Balleraena Dance Studio

    5001 Bur Oak Place

    Sioux Falls, SD 57108

     

     

    PAYMENT SCHEDULE

    9 Month Session (Sept-May)

    • There is a $61 non-refundable registration fee (made payable to Balleraena Dance Studio) required for each class your child is taking. This fee purchases recital costumes which your child will keep. All students are expected to be in the Spring Dance Recital.

    •  Selected classes have no recital pieces (e.g. stretching, Pilates). For these, submit a registration form, but no registration fees. 

    • Pointe students must also register for Ballet. Fees apply to both classes.   

    • Payments are due the FIRST class of every month. Save 5% for the year (Sept-May) by pre-paying the full season's (9 months) lesson fees in September.

    • If your  monthly payment is 8 or more days late, you will be charged a fee of $10.00  per month

    Camps. Workshops, and Special Performances

    • There are pre-paid, non-refundable registration fees (made payable to Balleraena Dance Studio) for each camp, workshop or special performance your child is taking. This fee is due at the time of registration.