REGISTER ONLINE 

 

 

Student Name:* Age: Date of Birth:

Address: City: Zip Code:

Primary Email:* (required for updates)

Mother: Home phone: Cell: Work:

Father: Work phone: Cell:

Emergency Contact:
Name:
Phone: Relationship:

If new prior dance/theatre training:

Allergies/Medical conditions/medications:

Select classes below

 

Monday
10:00 - 10:30 Pirates & Tales -
10:00 - 10:45 Princesses & Fairytales -
10:45 - 11:30 Broadway Babies I -
4:00 - 4:30 Princesses & Fairytales -
4:30 - 5:30 Petite Stars II -
5:00 - 5:30 Ballet (beg) -
5:30 - 7:00 Musical Theatre Combo -
5:30 - 6:30 Tap 3/4 -
6:30 - 7:30 Theatre Jazz -
7:30 - 8:30 Acting/Voice -
Tuesday
4:30 - 5:15 Kids Bop I - K
4:00 - 4:30 Broadway Babies -
4:30 - 5:30 Kids Bop II -
5:00 - 5:30 Broadway Babies -
5:30 - 6:30 Hip Hop -
5:30 - 6:30 Theatre Jazz -
6:00 - 7:00 Acting/Voice -
6:30 - 7:30 Ballet -
7:00 - 7:45 Tap - Beginner -
7:30 - 8:30 Open -
Wednesday
5:30 - 6:30 Tap 2 -
9:30 - 10:15 Fairytales & Princesses -
10:00 - 10:30 Dance w/me -
10:30 - 11:30 Broadway Babies I -
4:00 - 4:30 Pirates / Princesses Tales.. -
4:30 - 5:30 Broadway Babies I -
5:00 - 7:00 Musical Theatre Combo -
5:30 - 6:30 Jazz -
6:30 - 7:30 Hip Hop -
7:30 - 8:30 Acting/Voice -
7:30 - 8:30 Ballroom -
Thursday
4:30 - 5:30 Broadway Babies II -
4:30 - 5:30 Ballet (Int) -
5:30 - 6:30 Tap (Adv) -
5:30 - 6:30 Tap (Int) -
6:30 - 7:30 Theatre Jazz (Int) -
6:30 - 8:30 Acting (Adv) -
7:30 - 8:30 Theatre Jazz (Adv) -
7:30 - 8:30 Acting -
Friday
5:30 - 6:30 Contemporary/Lyrical Dance -
6::30 - 7:30 Tap 2/3 -
Saturday
9:00 - 10:00 Broadway Babies - K/PAT
10:00 - 11:00 Petite Stars - K
11:00 - 11:45 Hip Hop -

 

Payment Plan (Choose One)
Monthly $
Semester: $
Annual Registration Fee $30

I understand tuition for the current term, Sept 8 2009- June 2010 must be paid in (9) nine equal installments due on or before the 5th of each month. Upon registration Sept & June tuition are required or in (two) semester installments due on 9/8/08 and 1/26/09. A non-refundable registration fee of $30 is due at the time of registration. I understand Broadway Kids & Company LLC issues statements for overdue accounts only. I agree to pay the late fee of $15 if payment is made after the 10th of the month or postmarked after the 10th of the month regardless of absence, illness, weather, class cancellation, vacations, etc; and a $25.00 fee for each check returned by the bank. I understand that I am responsible for payment of the entire term in which the student is registered; tuition is non-refundable; and in the event of absence, payment must be mailed to Broadway Kids & Company 5 Freedom Way Suite D3 Niantic CT06357. I agree to submit advanced written notification to Broadway Kids & Co prior to the first month/semester/session in order to withdraw the student from classes and cancel this contract. I understand that until such notification is received my account will remain open and I am responsible for tuition payments and late fees regardless of absence until such notification is received. I understand that it is the students privilege to make up missed classes in a class other than one in which student is registered; makeups must be completed during the same semester as the absence; students may not take makeup classes for another students absence; tuition will not be refunded or prorated for unattended or canceled classes; and refunds in the case of prolonged illness or injury must be verified by a physicians certificate and are at the discretion of the director. I understand Broadway Kids & Company LLC reserves the right to cancel a class due to insufficient enrollment; to refuse registration if class has reached capacity; to substitute a qualified instructor in the absence of the regularly scheduled teacher; to photograph and use in publicity all photos taken; to terminate without refund the enrollment of any student for failing to comply with studio policies. I hereby release Broadway Kids & Company LLC , it officers, directors, employees and agents from any and all liability which may result from the conditions on or about the business premises, operations of the business premises or any other facilities used for Broadway Kids & Company functions. The person hereinafter signing this contract on behalf of the student accepts full responsibility for any and all such damage or injury of any kind which may result. I agree to advise Broadway Kids & Company LLC in writing of all pre-existing physical and or medical conditions including allergies/medications of said student. In the event of my absence I agree to have my child treated by medical professionals if deemed necessary.
* I agree to and understand all of the terms and conditions of this agreement.

 

Name:* Relationship to student:

 

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Southeastern CT School of Performing Arts & Broadway Kids & Company
5 Freedom Way | Niantic, CT 06357 | Tel: 860-691-0060 | Email