Dancer Name *

First Name

Last Name

Parent Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Dancer's Birthday *

In order to maintain class flow and ensure dancers have the best learning environment possible, please review our studio's age policy. For Fall 24/Spring 25 classes, dancers must be the required age noted on each class before August 1, 2024. For Summer classes, dancers must be the required age noted on each class before June 1st, 2025.

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Dancers under 4 years old:

Is your dancer potty trained? We ask that all dancers use the restroom before class starts to minimize classroom interruptions, but realize that our younger friends might need additional breaks. If dancer's are not fully potty trained, we ask that a parent stays in the lobby to assist with any necessary restroom visits.

Dancer is potty trained.

Dancer is not potty trained.

SUMMER 2025 RECREATIONAL DANCER SCHEDULE

For beginning to intermediate recreational dance students interested in learning to dance, create and perform. Summer classes begin June 2nd and run through July 31st. The studio will be closed June 30th - July 6th, between the two sessions. SESSION ONE : June 2nd - June 26th | SESSION TWO: July 7th - July 31st

Tuesday 4:00-4:30 Mommy & Me (2-3yr)

Tuesday 4:30 Creative Dance (3-4yr)

Tuesday 5:30 Tap & Ballet (5-7yr)

Tuesday 6:30 Beginning Acro/Tumbling

Wednesday 4:30 Pom/HipHop/Tumble (4-6yr)

Wednesday 5:30 Tap/Jazz (6-8yr)

Wednesday 6:30 Int/Adv Acro/Tumbling

TUITION PREFERENCES *

Tuition and class passes may be purchased on the website Class Pass page, through a QuickBooks invoice sent to the email address provided on this form or by visiting the front desk. If you prefer monthly Automated Tuition, please purchase through the Class Pass page after submitting this form.

I prefer to have a monthly automatic recurring charge for tuition

I prefer to have a QuickBooks invoice sent to the email address provided

MEDIA RELEASE : I, (Parent/Guardian), grant my permission for The Pointe Performing Arts Center to use the name, likeness, image, voice, and/or appearance of My Child (Minor), in any video or images, and the like taken or made on behalf of The Pointe Performing Arts Center. I agree that The Pointe Performing Arts Center has complete ownership of such content, etc., including the entire copyright, and may use them for any purpose consistent with the mission of the Studio. These uses include, but are not limited to posts on social media, rehearsal videos, publications, advertisements, and any promotional or educational materials in any medium now known or later developed. I hereby release The Pointe Performing Arts Center and its agents from any and all claims which arise out of or are in any way connected with such use. LIABILITY RELEASE: Parents, legal guardians of minor students, and adult students waive the right to any legal action for any bodily injury or property damage sustained on studio property resulting from any activity before, during or after dance class or rehearsal. This also applies to family members and friends who are on studio property for any reason. The Pointe Performing Arts Center, Owner/Director, Penny Capps, teachers, teaching assistants and staff are not to be held responsible for any injuries or loss of property sustained on studio property. In submitting this form, I agree to the terms above and have both read and understand the liability release as stated and agree to abide by the terms of the statement. *

Digital Signature of Parent/Guardian

First Name

Last Name

Student/Minor's Name *

First Name

Last Name

Date *

MM

DD

YYYY

*

I have read and understood this consent and release. I give my consent to The Pointe Performing Arts Center for the aforementioned purposes.