Maxine Patterson School of Dance

Maxine Patterson School of Dance 2018-2019 Registration Form

Name
Email Address
Street Address
City
State
Zip
Parent or Guardian Name
Parent or Guardian Name
Address (if different from above)
City, State, Zip
Dancer Name
Dancer Age
Dancer Birth Date
Grade
School Attending
Years of Dance
If Previous Dance, Where?
Type Parent/Guardian Name
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Registration Agreement

My child has permission to participate in various dance classes at Maxine Patterson School of Dance in Savannah, GA and other various locations. I hereby waive and release the Maxine Patterson School of Dance and all instructors at the studio of any claims, actions, causes of actions, damages, costs, liabilities, expenses or judgments, including attorney's fees and court costs, arising out of my child's participation in this program

I understand that tuition MUST be paid by 15th of each month (Savannah) and by cut of dates (Pooler Recreation Center) or a late fee of $10.00 will be added. There is a $25 fee for any returned check. No further checks will be accepted if this happens.

I understand that I will pay all account balances including late fees, costume fees, ticket fees, etc..., even if miy child does not complete the season.

I understand that if my child wishes to drop any classes, I will notify the studio by phone or in writing.

    Registration Cut off Dates and Fees

   Savannah locations - Please call studio.

   Pooler location - Registration is closed.

   $25 non-refundable registration fee and first month's tuition is due at Open House or the first day of class to secure your dancer's slot.

Thanks and we will contact you soon!

Maxine Patterson School of Dance

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