IDS Registration Form (2016-17)

Please print form before submitting if you would like a copy. 
Once the form has been submitted payment must be made at Imperial Dance Studio. 
Thank you.

Dancers Name *
Dancers Name
Date of Birth *
Date of Birth
Sibling 1
Sibling 1
Date of Birth
Date of Birth
Sibling 2
Sibling 2
Date of Birth
Date of Birth
Sibling 3
Sibling 3
Date of Birth
Date of Birth
Parent or Guardian *
Parent or Guardian
Address *
Address
Phone / Cell Number *
Phone / Cell Number
$
**Important Note To Parents: Please Read and Sign
Imerial Dance Studio Policies *
• THERE ARE N0 refunds for classes missed; however, any class can be made up un an alternate class within that month. • PARTICIPATION IN THE RECITAL and/or competitions is optional. Students are welcome to attend classes all season long, regardless of whether or not they choose to participate in the show. • COSTUME PRICES ARE $75.00 for ages 6 and under, and $90.00 (per costume, per class) for ages 7 and up. • RECITAL QUALIFICATIONS: Each performer is required to purchase a minimum of 5 tickets per family. • TICKETS ARE $20.00 pre-sale and $25.00 at the door. • ALL BALANCES must be paid In full including the full month of July tuition in order to participate in the July dance recital! • A ONE TIME $25.00 Registration Fee (for new students) will be added along with your first tuition payment. • WE ACCEPT cash or check only. • THERE WILL BE A $20.00 service fee for any returned check.
For Office Use Only