Special Stars 2018 - 2019 Fall Registration Form

Student Information
Name *
Name
Date Of Birth *
Date Of Birth
Class Choice *
Parent/Guardian's Information
Name(s) *
Name(s)
Address *
Address
Terms And Conditions
• In attending Stephanie’s Academy of Dance, Inc., taking dance, playgroup, and otherwise using the studio and fixtures therein, I understand that I do so at my own risk. • Stephanie’s Academy of Dance, Inc. shall not be liable for any damages arising from personal injuries incurred by me in, on or about the premises of Stephanie’s Academy of Dance, Inc. relative to my attendance at the studio, taking dance, playgroup or otherwise using the studio and fixtures therein. • I assume full responsibility for any injuries or damages which may occur to me in, on or about the premises of Stephanie’s Academy of Dance, Inc., and I do hereby fully and forever release and discharge Stephanie’s Academy of Dance, Inc., it’s directors, instructors, employees from any and all claims, demands, rights of action or causes of said Stephanie’s Academy of Dance, Inc., classes, studio, and fixtures thereof. *
Tuition Payment Terms ~ Tuition is Non-Refundable regardless of cause. ~ $40.00 Fee for NSF Checks *
Stephanie's Academy of Dance has my permission to put any picture on social media of my child or myself. *