The Galletta School of Dance and Performing Arts Registration Form
Section 1
(1) Student's name___________________________________________________________ D.O.B. ___/____/____
(2) Student's name___________________________________________________________ D.O.B. ___/____/____
(3) Student's name___________________________________________________________ D.O.B. ___/____/____
Parent's or legal guardian's names __________________________________________________________________
Street_________________________________________________________________________________________
City_______________________________ Zip ___________________ Home Phone [____]____________________
Work Phone [____]_______________ Cell Phone [____]__________________
Email _________________________________________________________________________________________
Emergency Contact (other than parent) ___________________________________Phone ______________________
Does the student have any ailments or restrictions? Yes /No If yes, please explain:
______________________________________________________________________________________________
Section 2 (Please fill out this section if you are a new student)
How did you hear about us? _________________________
Has the student had any previous dance training? Yes/No
Name(s) of current or previous dance school(s) ________________________________________________________
Section 3
Please list the classes your child will be enrolling inClass/Day/Time: ____________________________________
Class/Day/Time: _____________________________________
Class/Day/Time: ____________________________________
Class/Day/Time: ____________________________________
Class/Day/Time: ____________________________________
Class/Day/Time: ____________________________________
Class/Day/Time: ____________________________________
Class/Day/Time: ________________________________
Class/Day/Time: ________________________________
Class/Day/Time: ________________________________
Class/Day/Time: ________________________________
Class/Day/Time: ________________________________
Class/Day/Time: ________________________________
Class/Day/Time: ________________________________
Section 4 Class Policies
Payment and Tuition Information
Tuition is due by the first of each month. If accounts are paid after the tenth of the month, there will be a $10.00 late fee applied to the
account balance. There is a $25.00 returned check charge for any checks returned by the bank. Tuition is based on a flat fee for the year billed
in four week sessions, not the number of classes per month. We do not prorate months for missed days, holidays or school vacations. There is an
annual $25.00 registration fee per student due upon registration.
Payments may be made by cash or check. Please review our studio policies.
Class Placement:
All placement decisions by the instructor are based on class participation, attendance, progress, ability, and consistency. It is not unusual to
remain in the same level for more than one year. Each student has a rate at which they will progress physically and mentally. Please respect
the instructor’s knowledge of where your child should be placed in each year of their dance training. A student who is placed in a class that is
too difficult or a level that is not appropriate to their working ability will lose interest in their development as a dancer or hold the class back
from progressing. The directors and instructors of The Galletta School of Dance and Performing Arts want to further your child’s training as a
dancer and want them to enjoy dance for many years. Parents may request a conference to discuss student progress.
Appropriate Attire
*Upon entering the studio all students must have hair in a bun and dressed in appropriate class attire (*see Parent Handbook for list of
appropriate dancewear). Class Attire can be purchased @ www.discountdance.com Discount code TP30294
Classroom Rules
All students are expected to uphold all classroom rules at all times. For a complete list of rules, please see your handbook.
Attendance and Participation
Tardiness: Dancers are expected to be on time for class with hair done & shoes on when they enter the classroom. Important warm-ups are
missed if a student is late, and injuries could result. If a student is more than 15 minutes late, the student must ask permission to join the class
and may sit and observe the rest of the class but will not be allowed to take class. Students are expected to be ready for their lessons. This means
a student is expected to arrive, warm up and stretch at least 10 to 15 minutes before a lesson or rehearsal begins. This transition period assists in
one’s focus and physical well-being.
***Continued Other Side***
Absences/Make-Up Classes: Students need to call the studio at (360)779-1122 to let their teacher know if they are going to miss class. You
are expected to make up any missed classes within 4 weeks of the missed class. You may take a make-up class at your level or lower. Any
other options must be discussed with the instructor. We do not give credit towards tuition for missed classes. As the Spring Production
approaches, make-up classes may not be available, as every class time is devoted to production choreography.
Class Cancellations: Dance classes will follow the North Kitsap School District cancellations due to inclement weather. If cancellation is
necessary, a message will be left on the answering machine, website, and an email will be sent. The studio will provide make-up classes for all
class cancellations.
Add/Drop Classes: Dancers must complete an Add/Drop form in order to make any changes to their original dance schedule. Forms are
available at the front desk. Your “drop date” will be effective on the 1st of the following month. In order to drop a class, you must turn in a Drop
form no later than the 15th of the month prior to your drop date to avoid being charged another month (i.e. drop no later than October 15 to be
effective November 1). There are no refunds to your Automatic Monthly tuition if the Drop request is not received 15 days prior to your drop
date. Add/Drops made by phone will not be accepted.. Students wishing to add/drop/change a class must first confirm with the Front Desk staff
regarding availability and get instructor approval. A parent may email a detailed Add/Drop request to gallettadance@hotmail.com in which
case you will receive an official email reply from us letting you know that we have received your email and that your drop request has been
processed. All Registration Fees and Monthly Tuition are non-refundable.
Class Observation
NO visitors/parents are allowed inside the classroom during class time. Parents are prohibited from entering a class in progress. If your
child needs to be removed from class early, please inform the teacher prior to class. If an emergency arises, please inform the front desk, and
they will quietly bring your child to you. If you have other concerns please ask the front desk to pass a note onto the teacher and they will meet
with you while on break, or after class. During the dance year, The Galletta School of Dance and Performing Arts will have parent’s week(s),
which is a perfect time to view your child’s progress.
Please refrain from standing in front of the classroom door, standing in an open classroom doorway, or peeking through the door windows
during class. For safety reasons, the doors must remain unobstructed at all times to allow clear access to and from the classroom.
Pick-Up
Parents please be prompt to pick your children up at the end of class. Teachers tend to have classes back to back, and we cannot baby-sit
students. If they must wait, have them prepared ahead of time with some work to keep them occupied. The studio will not stay open more than
10 minutes after the last class of the evening. It is mandatory for all dancers to stay inside the building until their ride arrives.
Performance/Costume Fees
Spring Performance: The entire studio participates in our Spring production. Costume Fees vary according to each individual class and will be
due by Jan. 15, 2014. Performance Fee is $65.00per student and due by March 1, 2014. Performance fees help offset costs for the venue, ticket
printing, backdrops, sets, lighting, and advertising related to the spring show. Each paid performance fee includes 1 admission ticket to the
show. If you wish to pay installments, you may do so; however, we need postdated checks to ensure costumes get ordered on time. There will be
no refunds for costumes once ordered. All accounts must be up to date prior to performances, or your dancer will not be able to participate in the
spring performance.
Release of Liability
As the legal parent or guardian, I release and hold harmless The Galletta School of Dance and Performing Arts, its owners and operators from
any and all liability, claims, demands, and causes of action whatsoever, to include any and all costs, expenses, and/or judgments (including
attorney’s fees and court costs), arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant
and/or the undersigned, while in or upon the premises or any premises under the control and supervision of The Galletta School of Dance and
Performing Arts, its owners and operators or in route to or from any of said premises.
Photo Release
I hereby give The Galletta School of Dance and Performing Arts the absolute right and permission to publish, copyright, and use pictures of me
in which I may be included in whole or in part, composite or retouched, in character or form; without any monetary compensation or value
received.
Medical Emergency
The undersigned gives permission to The Galletta School of Dance and Performing Arts, 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 recognize the risks of illness and/or injury inherent in any
dance/theater exercise program. I hereby declare any physical/mental problems, restrictions, or condition and/or declare the participant to be in
good physical and mental health.
 I've read and agree to all of the above and the Studio Policies.
_____________________________________________________________ Date___/____/___
Signature of student or parent/ legal guardian, if student is under age 18