YSOD RETURNING STUDENT REGISTRATION FORM

2022-2023 RETURNING STUDENT REGISTRATION

Welcome Back! 43 Years of Dance!
Student's Name *

First Name Last Name
Birth Date *

Month Day Year
Age as of 9/1 *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Main Email for all Communications *
example@example.com
Parent/Guardian's Name *

First Name Last Name
Mom's Cell *

Area Code Phone Number
Dad's Cell

Area Code Phone Number
Emergency Contact other than Parent *

First Name Last Name
Cell/Phone of Contact *

Area Code Phone Number
Relationship to student of contact *
(ie. aunt, friend, grandparent)
Any significant medical history/physical limitations that we should know about the student including ANY ALLERGIES? *

Yes No
Please describe limitations and list ANY ALLERGIES here.
Classes and Fees

Please review how many classes you will be interested in and choose the related selection below. (NO registration fee for returning students!)
Stay tuned for our official class schedule/times coming soon. Please watch your email and our website.
PRE-SCHOOL AND COMBO CLASSES - AGES 3 - 7.5

Ballet & Tap Combo - 1 Hour ($65) Ballet/Tap/Jazz or Hip Hop - 1.5 Hours ($87) Ballet/Tap/Jazz or Hip Hop - 2 Hours ($98)
Children will be placed in classes with students that are their same age.
**Must be age 5.5 to add Jazz and/or Hip Hop.
INDIVIDUAL CLASSES FOR AGES 8 & up
All classes in this section are 45 min.

Price is per individual child, not family.
**Must be age 8 by 12/31.

Choose # of classes and types: Ballet, Tap, Jazz, Hip-Hop, Lyrical
1 Class ($65)

Ballet Tap Jazz HipHop Lyrical
2 Classes ($98)

Ballet Tap Jazz HipHop Lyrical
3 Classes ($127)

Ballet Tap Jazz HipHop Lyrical
4 Classes ($154)

Ballet Tap Jazz HipHop Lyrical
5 Classes ($178)

Ballet Tap Jazz HipHop Lyrical
ACRO CLASSES are their own entity. If you’re interested in taking Acro, please speak to Miss Tracy.

No, I am not interested in Acro Classes at this time YES, I am interested in Acro Classes
**Must be age 6.5 by 9/30 to begin ACRO
Personal Class Preferences

Helps us schedule knowing your preferences and availability. (Schedule subject to change as interest/availability changes)
Best Class Days and Times?
(i.e. M 5-6, TH 7-9)
Days and Times NOT available?
(i.e. T, F, 7-9)
Earliest time you can get to the studio?
(i.e. 8:30 am)
Payment Information

AFTER this form is submitted, payment information will be emailed. Autopay form must be resubmitted each year.
Are you interested in Auto Pay connected to your credit card? *

Yes No
Please download this PDF YSOD Auto Pay Form and return the completed form to the office.
YSOD RELEASE SECTION -

Medical / Photo / Video / Terms and Rules in YSOD Student Handbook
I agree to the terms of enrollment to Yvonne’s School of Dance (YSOD) including a (1) time non-refundable registration fee for all new students. Parents/legal guardians automatically grant YSOD permission to use photos or videotape for advertising and publicity purposes inclusive of television, videotape, film broadcast, newspaper, print ads or website. No monetary compensation will be made and due to editing, the material used is at the discretion of the dance studio. I also agree to hold harmless from any and all liability the school, its officers, employees both in their professional capacity and personally for all injury or illness resulting from or in any way connected with his/her participation in the classes, activities or special events at the school or any dance function outside the school. *

Agree
View and Download Student Handbook
I agree the rules and regulations as listed in the YSOD Student Handbook. *

Agree
I give YSOD permission to seek emergency medical attention for my child if necessary. *

Agree
Any other questions or comments?
Yvonne's School of Dance

22 Vineyard Rd, Edison NJ 08817 732-248-3737

www.ysoddance.com yvonnesdance@gmail.com
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2022-2023 RETURNING STUDENT REGISTRATION

Classes and Fees

Personal Class Preferences

Payment Information

YSOD RELEASE SECTION -