Dancer Name *
Dancer Name
Dancer's Birthday *
Dancer's Birthday
*If Applicable
*If Applicable
Parent/Guardian Information
Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Phone *
Parent/Guardian Phone
Address *
Tuesday Morning Classes
Tuesday Classes
Wednesday Classes
Thursday Classes
Auto Payment Information
Name as it Appears on Card:
Name as it Appears on Card:
Billing Address
Billing Address
Terms & Conditions
Conduct *
Every student deserves the opportunity to receive the best dance experience. Disruptive and disrespectful behavior from students and parents/guardians is unacceptable. If a student's conduct becomes a recurring issue, a member of our staff may contact their parent/guardian to discuss solutions. In the event that a parent/guardian becomes disruptive or disrespectful, they may be asked to leave the studio space. I agree to abide by the polices set forth by Lively Arts Dance Academy which are posted on
Missed Classes & Make Up Policy *
I understand that any missed classes are required to be made up within the session they are missed, that any class in your student's age level may be taken to qualify as a make up class, and that no refund or credit will be issued for classes missed.
Media Release
I agree to give full rights to Lively Arts Dance Academy and its staff to use photo and/or video images of you or your child to use for promotional or media purposes.
Liability *
I agree that Lively Arts Dance Academy is in no way responsible for the safekeeping of personal belongings while I attend class. I understand that classes at Lively Arts Dance Academy may be physically strenuous and my child or I voluntarily participate in them will full knowledge that there is risk of injury, property loss, or death. I agree that neither I, my heirs, assigns, or legal representatives will sue or make any other claims of any kind against Lively Arts Dance Academy or its members for personal injury or property damage/loss.
Tuition & Fees *
Tuition is due at the start of each session whether or not classes are attended. Tuition and the dance calendar are divided into seven sessions. Tuition pricing per session remains the same despite holiday and seasonal breaks. Tuition is priced at a yearly rate per class with each class guaranteed to meet at least 35 times between August and May of the following year. I also understand that a one-time registration fee of $25 will be applied to tuition. Additionally, some classes may require specific footwear, which is not included in the tuition price. All costumes & accessories needed for the annual recital must be purchased through Lively Arts Dance Academy. The costume fee is $50 per class. I understand that if enrolled in auto pay my credit/debit card will be charged the Saturday prior to the upcoming session.