Star Steps dance
fall 2018 ENROLLMENT FORM
enrollment fee - $55 for 1st child,
$25 for each additional child.
Zip Code______________ Home Phone________________ Cell____________________
Please check the classes of interest:
Jazz_______ Tap_______ Hip Hop_______
Jazz/Tap Combo_______ Star Babies – 2 ½-5 yr. combo_______
Contemporary_______ Ballet_______ Pointe_______
My signature below authorizes: 1. Star Steps Inc. to teach dance to my child, and to hold Star Steps Inc. harmless and not liable
for any injuries that may occur wile at Star Steps studio, recitals, performances or competitions. 2. That my child is physically
able to engage in dance activity and has no health issues that would be negatively impacted by physical activity. 3. I understand
that I am responsible for monitoring my child (or children) and my childs behavior when they are not in a dance class, but still in
the studio. I understand that my tuition is due by the 5 th of the month and that if payment is not made within 30 days, a late
fee of $25 will be added to my bill and my child may be dropped from their class(es).
Parent’s signature______________________________________________ Date_______________________