|Dubuque Dance Studio and Gymnastics Club
Registration Agreement and Release
(For all summer classes (June - August), there is no registration fee. There is also no monthly tuition. For summer tuition is
paid in full at the time of registration.)
PHOTOS: We reserve the right to video tape and take pictures for training purposes and advertisement.
REGISTRATION FEE: Our standard session runs with the school year, September through May. There is an annual Registration
Fee of $15.00 due at registration, $20.00 for a family. These are NON REFUNDABLE fees, mandatory fees due when you return
this form and/or register / show up for class.
CLASS SCHEDULING AND FEE PAYMENT: Class payment is due before the 1st of the month. If tuition is not paid before the 1st
a mandatory late fee of $3.00 is applied to the account. When a student is registered, or begins classes, you are assigned a
class for the entire term. Our class session runs from September through May. If during that time you decide to stop taking
lessons, we must be notified two weeks in advance, before the 1st of the month. It is mandatory that you hand in a two week
written notice to our office when discontinuing class (email is acceptable). If you are on one of our teams (dance company,
dance competition, tumbling team and/or gymnastics team), it is a 30 day notice in writing. Please note team is a year around
activity and commitment - notice must be given or you are registered for the next session. Charges will continue on all accounts
until the notice is received in our office. You are fully responsible for all charges during this time, NO EXCEPTIONS. Monthly,
seasonal lessons paid are NOT REFUNDED for any reason. When signing up for summer and special sessions, if you are
unable to attend, fees cannot be refunded. If you are absent from a lesson, you may make it up within 30 days by calling ahead
to reserve a place in an appropriate class that has available space. If make-up times are not available, you forfeit your class.
Students are not able to make up classes after their session is over, the student must be an active member, and paying for the
month (session) in which the make up class is taking place. Registration for events, competitions, meets may not be paid for if
you have an outstanding balance on your account. All members who register or attend classes agree to comply with all studio
and club policies as outlined in our brochure, on this form and verbally presented.
I release Dubuque Dance Studio and Gymnastics Club, its directors and staff from any and all responsibilities due to accident or
injury sustained in/at/around/acquainted with Dubuque Dance Studio and Gymnastics Club. I am aware that in gymnastics and
dance, as in any sport involving height and motion, the possibility of serious injury, paralysis and even death is present. The
child/children above have my full consent to participate in the program. I/we give permission for a DDS&G representative to
administer bandages/Tylenol etc, to transport when needed and place my child in their care when traveling. In the event of an
emergency I/we give DDS&G, its coaches or staff permission to obtain and sign for medical treatment.
This release is printed, with your registration / payment and kept on file, please do the same for yourself. For Sept - May term;
tuition (and any due team fees) is / are deducted from the card (credit or debit) you will use to register. Tuition / fees is / are taken
out the last working day of the month (Aug - April). For summer, full tuition is paid at registration unless you request otherwise.
I agree to the above policies for Summer 2013
I agree to the above for September 2013 - May 2014
|In the event that online registration does not work for you, please download
this registration form. The form can be mailed to 2612 University Ave,
Dubuque, Iowa 52001, or emailed to firstname.lastname@example.org.