Star Steps dance
fall 2017 - 2018 ENROLLMENT FORM

enrollment fee - $55  sibling $25   3rd sibling $20      



Zip Code______________ Home Phone________________ Cell____________________

E-Mail address______________________________________________________________

Child's name_________________________________________________________________

Birthdate____________________________________________ Age__________________

Ballet - Pointe - Jazz - Tap - Hip Hop - Star Babies Combo - Contemporary
1st – 3rd combo (Tap and Jazz)



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 while 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 child (or children’s) behavior when they are not in a dance class – in the hallways, to and from class, at dance competitions and the annual recital, 4. That I understand tuition is due no later than the 5th of each month, and that if payment is not made within 30 days, a late charge of $25.00 will be added to my bill and my child may be dropped from their class(es).

Parent’s signature______________________________________________ Date_______________________