Parent Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone
*
(###)
###
####
Student Name
*
First Name
Last Name
Student Date of Birth
*
MM
DD
YYYY
Student Classes
Ensemble Apprentice Ballet | Ms. Aubrey | Mondays 6:00 - 7:00 PM
Ballet/Tap Combo (ages 5-8) | Ms. Aubrey | Mondays 7:00 - 8:00 PM
Ensemble Junior/Senior Ballet | Ms. Christin | Mondays 5:30 - 7:00 PM
Ensemble Intermediate Jazz/Hip Hop | Ms. Christin | Mondays 7:00 - 8:00 PM
Ensemble Advanced Jazz/Hip Hop | Ms. Christin & Clara | Mondays 8:00 - 9:00 PM
Ensemble Senior Ballet | Ms. Rachel C. | Tuesdays 6:30 - 8:00 PM
Teen/Adult Beginner Jazz (ages 12+) | Ms. Shelby | Tuesdays 8:00 - 9:00 PM
Ensemble Apprentice/Junior Ballet | Ms. Shelby | Tuesdays 5:00 - 6:00 PM
Ensemble Intermediate Contemporary | Ms. Shelby | Tuesdays 7:00 - 8:00 PM
Ensemble Advanced Contemporary | Ms. Rachel C. | Tuesdays 8:00 - 9:00 PM
Jazz/Hip Hop 1 (ages 7+) | Ms. Clara | Wednesdays | 5:30 - 6:30 PM
Tap 1 (ages 5+) | Ms. Rachael B. | Thursdays 4:30 - 5:30 PM
Tap 2/3 (audition only) | Ms. Rachael B. | Thursdays 5:30 - 6:30 PM
Teen/Adult Beginner Tap (ages 12+) | Ms. Rachael B. | Thursdays 6:30 - 7:30 PM
Creative Movement (ages 3-4) | Ms. Christin | Thursdays 4:30 - 5:15 PM
Ballet 2 (ages 7+) | Ms. Christin | Thursdays 5:30 - 6:30 PM
Ballet 3/4 (audition only) | Ms. Christin | Thursdays 6:30 - 7:30 PM
Jazz 2 (audition only) | Ms. Christin | Thursdays 7:30 - 8:30 PM
Teen/Adult Ballet (ages 12+) | Ms. Christin | Thursdays 8:30 - 9:30 PM
2nd Student Name
First Name
Last Name
2nd Student Date of Birth
MM
DD
YYYY
2nd Student Classes
Ensemble Apprentice Ballet | Ms. Aubrey | Mondays 6:00 - 7:00 PM
Ballet/Tap Combo (ages 5-8) | Ms. Aubrey | Mondays 7:00 - 8:00 PM
Ensemble Junior/Senior Ballet | Ms. Christin | Mondays 5:30 - 7:00 PM
Ensemble Intermediate Jazz/Hip Hop | Ms. Christin | Mondays 7:00 - 8:00 PM
Ensemble Advanced Jazz/Hip Hop | Ms. Christin & Clara | Mondays 8:00 - 9:00 PM
Ensemble Senior Ballet | Ms. Rachel C. | Tuesdays 6:30 - 8:00 PM
Teen/Adult Beginner Jazz (ages 12+) | Ms. Shelby | Tuesdays 8:00 - 9:00 PM
Ensemble Apprentice/Junior Ballet | Ms. Shelby | Tuesdays 5:00 - 6:00 PM
Ensemble Intermediate Contemporary | Ms. Shelby | Tuesdays 7:00 - 8:00 PM
Ensemble Advanced Contemporary | Ms. Rachel C. | Tuesdays 8:00 - 9:00 PM
Jazz/Hip Hop 1 (ages 7+) | Ms. Clara | Wednesdays | 5:30 - 6:30 PM
Tap 1 (ages 5+) | Ms. Rachael B. | Thursdays 4:30 - 5:30 PM
Tap 2/3 (audition only) | Ms. Rachael B. | Thursdays 5:30 - 6:30 PM
Teen/Adult Beginner Tap (ages 12+) | Ms. Rachael B. | Thursdays 6:30 - 7:30 PM
Creative Movement (ages 3-4) | Ms. Christin | Thursdays 4:30 - 5:15 PM
Ballet 2 (ages 7+) | Ms. Christin | Thursdays 5:30 - 6:30 PM
Ballet 3/4 (audition only) | Ms. Christin | Thursdays 6:30 - 7:30 PM
Jazz 2 (audition only) | Ms. Christin | Thursdays 7:30 - 8:30 PM
Teen/Adult Ballet (ages 12+) | Ms. Christin | Thursdays 8:30 - 9:30 PM
3rd Student Name
First Name
Last Name
3rd Student Date of Birth
MM
DD
YYYY
3rd Student Classes
Ensemble Apprentice Ballet | Ms. Aubrey | Mondays 6:00 - 7:00 PM
Ballet/Tap Combo (ages 5-8) | Ms. Aubrey | Mondays 7:00 - 8:00 PM
Ensemble Junior/Senior Ballet | Ms. Christin | Mondays 5:30 - 7:00 PM
Ensemble Intermediate Jazz/Hip Hop | Ms. Christin | Mondays 7:00 - 8:00 PM
Ensemble Advanced Jazz/Hip Hop | Ms. Christin & Clara | Mondays 8:00 - 9:00 PM
Ensemble Senior Ballet | Ms. Rachel C. | Tuesdays 6:30 - 8:00 PM
Teen/Adult Beginner Jazz (ages 12+) | Ms. Shelby | Tuesdays 8:00 - 9:00 PM
Ensemble Apprentice/Junior Ballet | Ms. Shelby | Tuesdays 5:00 - 6:00 PM
Ensemble Intermediate Contemporary | Ms. Shelby | Tuesdays 7:00 - 8:00 PM
Ensemble Advanced Contemporary | Ms. Rachel C. | Tuesdays 8:00 - 9:00 PM
Jazz/Hip Hop 1 (ages 7+) | Ms. Clara | Wednesdays | 5:30 - 6:30 PM
Tap 1 (ages 5+) | Ms. Rachael B. | Thursdays 4:30 - 5:30 PM
Tap 2/3 (audition only) | Ms. Rachael B. | Thursdays 5:30 - 6:30 PM
Teen/Adult Beginner Tap (ages 12+) | Ms. Rachael B. | Thursdays 6:30 - 7:30 PM
Creative Movement (ages 3-4) | Ms. Christin | Thursdays 4:30 - 5:15 PM
Ballet 2 (ages 7+) | Ms. Christin | Thursdays 5:30 - 6:30 PM
Ballet 3/4 (audition only) | Ms. Christin | Thursdays 6:30 - 7:30 PM
Jazz 2 (audition only) | Ms. Christin | Thursdays 7:30 - 8:30 PM
Teen/Adult Ballet (ages 12+) | Ms. Christin | Thursdays 8:30 - 9:30 PM
4th Student Name
First Name
Last Name
4th Student Date of Birth
MM
DD
YYYY
4th Student Classes
Ensemble Apprentice Ballet | Ms. Aubrey | Mondays 6:00 - 7:00 PM
Ballet/Tap Combo (ages 5-8) | Ms. Aubrey | Mondays 7:00 - 8:00 PM
Ensemble Junior/Senior Ballet | Ms. Christin | Mondays 5:30 - 7:00 PM
Ensemble Intermediate Jazz/Hip Hop | Ms. Christin | Mondays 7:00 - 8:00 PM
Ensemble Advanced Jazz/Hip Hop | Ms. Christin & Clara | Mondays 8:00 - 9:00 PM
Ensemble Senior Ballet | Ms. Rachel C. | Tuesdays 6:30 - 8:00 PM
Teen/Adult Beginner Jazz (ages 12+) | Ms. Shelby | Tuesdays 8:00 - 9:00 PM
Ensemble Apprentice/Junior Ballet | Ms. Shelby | Tuesdays 5:00 - 6:00 PM
Ensemble Intermediate Contemporary | Ms. Shelby | Tuesdays 7:00 - 8:00 PM
Ensemble Advanced Contemporary | Ms. Rachel C. | Tuesdays 8:00 - 9:00 PM
Jazz/Hip Hop 1 (ages 7+) | Ms. Clara | Wednesdays | 5:30 - 6:30 PM
Tap 1 (ages 5+) | Ms. Rachael B. | Thursdays 4:30 - 5:30 PM
Tap 2/3 (audition only) | Ms. Rachael B. | Thursdays 5:30 - 6:30 PM
Teen/Adult Beginner Tap (ages 12+) | Ms. Rachael B. | Thursdays 6:30 - 7:30 PM
Creative Movement (ages 3-4) | Ms. Christin | Thursdays 4:30 - 5:15 PM
Ballet 2 (ages 7+) | Ms. Christin | Thursdays 5:30 - 6:30 PM
Ballet 3/4 (audition only) | Ms. Christin | Thursdays 6:30 - 7:30 PM
Jazz 2 (audition only) | Ms. Christin | Thursdays 7:30 - 8:30 PM
Teen/Adult Ballet (ages 12+) | Ms. Christin | Thursdays 8:30 - 9:30 PM
Payments Due 2024-2025
*
*Registration Fee: $60.00 | $65.00 after September 9, 2024.
*Monthly Tuition is due on the 1st of each month, and after the 10th of each month, a $15 late fee will be applied to your account.
*Additional Recital Fees are required prior to participation in recital performances. All students are encouraged to perform in the recital at the end of the season, but it is not mandatory.
I've read the above & agree
Tuition
*
Tuition is Non-Refundable and payable on the first of each month. Monthly Tuition will be invoiced to the email provided at the time of registration unless otherwise directed. Any over payments will be applied towards future tuition and will be considered Non-Refundable. Accounts that are not brought current by the 10th of each month will be considered late, and will be charged a $15.00 per month late fee. If the account is not brought current by the following month, the student will be asked to sit out and not participate in class. All checks returned for insufficient funds will be charged a fee of $35.00 and will be billed to your account, with cash or card being the only form of payment accepted thereafter. Notification of withdrawal of your student from classes must be in writing and given to the director of the school. This dance season contract is valid from September 9, 2024 through the end of June 2025. We will follow the Jackson County School System's calendar for all major holidays on which classes will not be held. No refunds will be made for unattended classes. Make-up classes will be offered if the student has been ill or experienced a family emergency. Make-up classes must be scheduled and approved by the director of the school and made-up by May 31, 2025.
I've read the above and agree
Release of Liability
*
As legal parent or guardian, I release and hold harmless Walker School of Ballet and its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, illness (including Covid-19), or injury (including death), that may be contracted or sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Walker School of Ballet and its owners and operators or in route to or from any said premises.
I've read the above and agree
Medical Emergency
*
The undersigned gives permission to Walker School of Ballet and its owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental disabilities, restrictions, or conditions and/or declare the participant to be in good physical and mental health.
I've read the above and agree
Declaration of any physical/mental disabilities, restrictions, or conditions of participating students *
Social Media- Picture Permission
*
I give Walker School of Ballet permission to use my child's picture or video image for the purpose of advertising on the studio website, social media, recital videos, recital picture galleries and informational brochures or posters. If for any reason, I do not feel comfortable with this, a written notice to the school will ensure my child's picture will not be used for the requested reasons.
I've read the above and agree