SUMMER 2013 CLASS REGISTRATION FORM
Ballroom Elegance Dance Studio
(203) 454 - 9400
CANCELATION and RESCHEDULING: Ballroom Elegance Dance Studio reserves the right to cancel, combine, or reschedule classes in order to adjust for enrollment. The minimum number of participants needed to establish a class is ten. If Ballroom Elegance Studio cancels a class due to insufficient enrollment, registered participants will be informed and given the opportunity to register for another class. If participants do not want to transfer, a full refund will be given. Cancellation fees: $10
MISSING a CLASS POLICY: Each package consists of two classes (one hour long each class). In the event that you miss a class, you can make it up by joining another class next Thursday.
Please call or email the studio and arrange a head of time.
IMPORTANT NOTE: Making up a class can be made only within the summer program period on Thursdays: July 11th through August 29th and cannot be carried over.
Special deals (e.g., Groupon) are not refundable.
WAIVER: Upon registration for 2013 Summer Dance Classes, I as a parent/guardian do hereby
fully release and discharge the Ballroom Elegance Studio, LLC, their officers, faculty, and employees from any and all claims for injuries, damages or loss which may incur, on account of such participation.
I have read all of the above information and agree to it by my signature below.
TO ENROLL: Email or call to confirm availability, print, fill up this form & mail with a check made to Ballroom Elegance Dance Studio. Address: 627 Post Road East, Westport, CT 06880. Phone 203-454-9400
Package Name: ________________ Example: Package A
Class Time: ___________________ Example: 2:00pm
Package Fee: __________________ Example: $60
Total: _______________________ Enclosed check #:
SIGNATURE: _______________________ DATE:____________________
Student Name: _____________________________________________Child Age: ______
2nd Student: ____________________________________________________________
Phone Home: ____________________________________________________________
Phone Cell: ______________________________________________________________
E-mail Address: ___________________________________________________________
Parent Name: ____________________________________________________________
Are there any medical conditions that would prohibit the student from attending classes____No____Yes