VICTOR SCHOOL OF PERFORMING ARTS INTERNATIONAL
2700 NE
4th
Street
REGISTRATION:
Bend OR 97701
269-876-6439 victorperformingarts.com
Date: ___________________
Participant’s Name:_____________________________________________
Address: _____________________________________________________
City/State/Zip:__________________________________________________
Participant’s Age: _________Date of birth:___________________________
Home Phone: __________________ Cell Phone: ______________________
Email:________________________________________________________
Emergency Contact:
Name: _________________________________Phone:_______________
Relationship: _________________________________
If the participant is a minor:
Mother :_____________________________ Work Phone:_________________
Cell Phone:_______________________________
Father : _____________________________ Work Phone:_________________
Cell Phone:_______________________________
Billing email: _______________________________________________________
Non refundable registration fee IS DUE IN THE FALL EACH YEAR for all new
dancers as well as previous VPA students. New paperwork from everyone is
requested to make sure we have all correct information: $35 for single student, $45 per
family for more than one student. 15% discount for tuition of families with more than one
dancer. Purpose of your registration fee: it only partially pays towards the countless
hours throughout the year of accounting and billing, these being outside the hours of
teaching in the school. Tuition is due by the 7th of each month. Tuition will be
assessed unless the school is notified in writing by the 15th of the prior month of the
student’s intent to discontinue. A $20 late fee will be assessed if tuition is not received
by the 7th of the month. A $25 charge will be assessed for dishonored checks and $5 fee
on declined credit cards. Initial:___________________
Payment Enclosed:
Registration fee: $35.00 one dancer / $45.00 family rate.
__________________
Class fees for weeks of month you are starting:
1 hr class $15 / 1.5 hr class $15
(1 hour classes have less attendees which is why price is the same as 90 minute class)
Example: Intermed. Ballet
Wed. @ 5-6:30, 4x$15 = $60
Class 1 Day/Time: _______________
____________________
$_______________
Class 2 Day/Time: _________________
____________________
$_______________
Class 3 Day/Time: _________________
____________________
$_______________
Class 4 Day/Time: _________________
____________________
$_______________
Class 5 Day/Time: _________________
____________________
$_______________
TOTAL:
$___________________
We prefer to receive payments by check, but credit cards are accepted. You receive emailed
receipts from Chase Bank.
Credit Card : _____________________________________
Expir. __________________ 3-digit code________________
Name on Card:_____________________________________
Phone:__________________
HOW DID YOU HEAR ABOUT US ?
FRIEND:_________
internet:________
newspaper/magazine:_________
poster:_________
flyer:__________
hearsay:_________
WAIVER, RELEASE , INDEMNITY, AUTHORIZATION FOR
VICTOR SCHOOL OF PERFORMING ARTS INTERNATIONAL
I, the undersigned, for myself and all of my minor children and other dependents, including, without limitation,
any minor student(s) listed below (each a “Dependent” and collectively “Dependents”), understand,
acknowledge, and agree as follows:
Dance is a physical art. There are certain inherent risks associated with dance, participation in the classes,
events, programs, and activities offered by Joy Victor d/b/a Victor School of Performing Arts
International (“Victor”), use of the equipment, premises and facility
ies of Victor, and provision of any transportation, food, beverages or lodging by Victor (all of the
foregoing may be collectively referred to as the “Activities”). Any of the foregoing Activities could
result in physical injury and/or damage or loss to me, my Dependents, other members of my family, or
my property. Risks, injuries, damages, and losses could include, but are not limited to, sprains, strains,
broken bones, torn muscles, tendons, and ligaments, and accidental injuries, whether caused by me, any
of my Dependents, or any other individual. I hereby agree on behalf of myself and my Dependents that
participation by me and my Dependents, or any of us, in any of the Activities is undertaken at our sole
risk.
In consideration of Victor allowing me and my Dependents, or any of us, to participate in one or more of
the Activities, I waive and release, for and on behalf of myself and my Dependents, any and all claims for
or related to any injury, damage, or loss that has been or may in the future be suffered by me, any of my
Dependents, any other member of my family, or my property, resulting directly or indirectly from: (i) my
participation, or the participation of any of my Dependents or others, in any of the Activities, including,
without limitation, (A) my use, or the use by any of my Dependents or others, of any of Victor’s
equipment, premises or facilities, or of any other location in which the Activities may occur, and (B) any
class, event, program, activity, transportation, food, beverage or lodging provided by or through Victor; or
(ii) any act or failure to act by Victor or any of Victor’s agents, employees, other personnel, contractors or
sponsors (collectively, “Victor Parties”), or the owner(s) or landlord(s) of any property on which any
Activities occur (collectively, “Landlords”). Further, I hereby release and agree to indemnify and
defend, on behalf of myself and my Dependents, Victor, the Victor Parties and all Landlords from and
against any and all losses, injuries, damages, claims and expenses resulting from my participation, or the
participation of any of my Dependents, in any of the Activities. Notwithstanding the above, none of
Victor, the Victor Parties or any Landlords shall be released, indemnified or defended from any claims,
losses or liabilities resulting from that party’s willful misconduct.
I understand that an instructor may need to appropriately touch a student to instruct the student and assist the
student in the proper execution of ballet. I hereby authorize instructors to touch me and my Dependents
participating in Activities in an appropriate manner for purposes of providing such assistance and instruction.
In recognition of the risk of injury involved in participating in the Activities, I authorize emergency medical
treatment to be given to me and my Dependents as determined advisable in the judgment of any medical
professional. I, for and on behalf of myself and my Dependents, release and agree to indemnify and defend
Victor, the Victor Parties and any Landlords from and against any and all liability resulting from any such
actions that have occurred or in the future may occur and any related expenses (except a party shall not be
released from liability resulting from the party’s willful misconduct).
Continued Page 2
Page 2
I and any of my Dependents participating in any Activities are in good physical condition and, except as
otherwise previously disclosed to Victor, have no injuries, disabilities, illnesses, or special exercise
requirements or limitations, or other concerns that could prevent any of us from participating in the Activities,
from using Victor’s equipment and facilities or that would result in negative health consequences from
participating in the Activities. In the event that I or any of my Dependents participating in any Activities
acquire any of the aforementioned conditions or require special requirements or limitations, I will disclose
them to Victor prior to me or any of my Dependents continuing to participate in any Activities.
I give model release authorization for my dancer’s photo to be used for website//brochure endorsement of
Victor School. I understand great care and respect will be taken that the photos shall be appropriate and
complimentary.
By signing below, I acknowledge that I have read the foregoing and fully understand and agree to its content.
Printed Student Name(s) and Age(s)
Signature and Printed Name of Parent/Guardian for Students under 18 years old
___________________________________________________________________________
Signature of Student if 18 years or older:
Signature
Printed Name of Parent/Guardian (if
applicable):
Date
VICTOR SCHOOL OF PERFORMING ARTS INTERNATIONAL
2700 NE 4th Street, Suite 210 Bend OR 97701 269-876-6439 victorperformingarts.com
FALL SCHEDULE 2015
Monday 2-3:30 Adult Ballet
3:30-4:30 Beginning Ballet 1
4:30-6 Intermediate Ballet
6-7 Pointe
7-8:00 West African Dance/ live drummers
Tuesday 4-5 Beginning ballet 2
6:30-8 Intermediate/Adv. Ballet
5-6:30 Beginning ballet
______________________________________________________________________________
Wednesday
4-5:30
Beginning ballet 3
5:30-7 Intermediate Ballet
Thursday 4-5 Beginning ballet 2
5:00-6:30
Friday
Intermediate/Adv. ballet
6:30-7:30 Pointe
3:20-4:50 Beginning ballet 3
4:50-6:20 Intermediate ballet
Beginning ballet 1 (Pre-Ballet): ages 3-5 Creative dance; intro to ballet
Beginning ballet 2: ages 5-10 Ballet basics Beginning ballet 3:
ages 9 +: Students that are just learning & those who are more proficient, an older group. Intermediate ballet can be classified as
Intermediate/advanced; a mix of students of various levels dance comfortably in this class. NOTE!! A new & exciting system of levels in our
school will be implemented this fall. This program involves special events where students give performance presentations whether in dance ,
public speaking or creative arts. Makeup Policy:
Those who miss class(es) may make them up within the next month. If
the class is not made up within this time, class is forfeited. It is at your own discretion and responsibility to
remember how many makeups you need to do; makeups are attended on an honor-basis.
Adult Ballet Ages 17 + A ballet class geared to adults who have had ballet and those who are just
beginning ballet. Adult dancers who are skilled are welcome to attend the intermediate/adv. classes.
IMPORTANT: POLICY OF ENROLLMENT-- The way our class enrollment works is
whatever class a student enrolls in is paid for in advance for the entire month. Enrollment
cannot be sustained opting out one month and rejoining the next. Should a student quit for a
month or more, re-registration fee is required to return to the school. This is standard for fine
dance schools who are intent on creating excellence. This attendance policy is not like a yoga
studio or gym where participants pick and choose which weeks they will attend as with a prepaid punch card, however, a DROP-IN fee is possible for visiting dancers or those who wish to
simply try a class, for $23 per class. Re-registration happens in the fall with each student paying
the registration fee for the new year. This fee partially compensates for the many hours each
week outside of the school for accounting costs, record-keeping and paperwork.
All students enrolled in a certain class pay for the whole month at the beginning of that month
and what is missed can made up in a different class within one month. Taking makeup
classes is done on an honor basis, and we wish you to keep your own record of what you need
to make up. Makeups cannot be transferred or piggy-backed onto future classes in the same
time slot of the following month. Students must choose another class they are not enrolled in
to make up the classes missed or our occasional special makeup classes on weekends.
Being sick, too tired to dance, out of town or choosing to celebrate Halloween for instance,
does not exempt payment for classes held on those days. If students do not attend with
commitment according to the policy, classes will not prosper, class morale goes down and
students' technique will be delayed in progression and skill. Victor School is intent on creating
the best dance technique within the shortest possible time – requiring diligent attendance. The
school will have periods where there are no classes as during Thanksgiving and Christmas, and
sometimes during the special Summer Intensive dates---- but family holidays, out of town
guests at home or out of town trips do not exempt students from paying the full monthly
tuition.
Registration:
Non-refundable registration fee for ALL students new or previous year is due with
registration: $35.00 per student ($45.00 per family for more than one student). If
student discontinues classes, re-registration will be required to resume.
Tuition is due by the 5th of each month. A $20 late fee will be assessed if
tuition is not received by the 7th of each month. A $25 charge will be
assessed for dishonored checks and $5 fee on declined credit cards. We
prefer payment by check. Unless otherwise altered, billing will be
calculated month to month for students enrolled in their classes.
Credit card auto-payment tuition will be assessed unless the school is
notified in writing by the 15th of the prior month of the student’s intent to
discontinue. Initial:______________
Policy for Makeup Classes:
When student misses a class, she/he may make it up in an appropriate class within the month
that class was missed. Past that month, the class is forfeited. You are given at your own discretion
responsibility to remember how many makeups you need to do-- makeups are attended on an honor-basis.
Private Class: Paid for prior to class event. Reservation for private class is nonrefundable.
Previously scheduled/paid-for private classes if missed cannot be made up due to the set
schedule being occupied by the reservation; Class fee is forfeited.
Privates $65 per hour Two students 2 hours $74 each Three students 2 hours $63 each
Two students 1.5 hours: $57 each
Three students 1.5 hours: $43 each
Four students 1.5 hours: $36 each
see discountdance.com for dance supplies
My teacher discount code for you to use on ‘discountdance.com’ is: TP104431.
You receive 10% discount on your first order and %5 ever after. Type this code in a designated
box when you order online.
DRESS CODE:
NEW and more strict policy than last year: PLEASE
PAY ATTENTION. Those who come to class unkempt must fix their
appearance/follow dress code in order to dance.
For Girls: Pink tights and any color leotard for girls. White or pink ballet
shoes. No baggy shirts or pants. Hair must be put up in a bun—use a
hairnet and bobby pins. Hairnet is necessary to keep hair tight, neat
and secure. Use hairspray for a clean look.
For Boys:
Black, white or grey tights. Form-fitting t-shirt.
No baggy pants or shirts. White or black ballet shoes. Boys wear a dance
belt. (like an athletic supporter-see men’s section at discount dance.com)
Shoes: Flat ballet shoes: Recommended / Sansha pro #S1C canvas in
pink white or black. Available at discountdance.com. If you are not sure
about size call the operator and they are nicely helpful to suggest the right
size. This particular shoe fits the arch very well and is complementary to
most feet.
IMPORTANT: Elastics must be sewn not tied. Drawstrings to be tied in a triple
knot and cut off short or medium length tucked inside shoe. No bows please
Important: secure the knot of your shoe drawstrings with clear nail polish. When
you cut your strings do not stretch the string.
Pointe Shoes: Recommended: Freed, Bloch (Discountdance.com),
Repetto (Backbay Dancewear.com). Not recommended: Capezio, Grishko, Russian
Pointe. These shoes are very hard, very noisy and hardly soften up so that the dancer
can use her foot and find control. Gaynor Mindens are a good shoe only on certain feet.
They are best fitted in a shop that knows the brand. They can be a very good choice for
the right dancer. It is either a great fit or very inappropriate depending on bone
structure. Use ribbons by Repetto or Freed. Some cheaper brands use ribbons as if
they came from the fabric store, you need a ribbon that has diagonal weave. Elastic
ribbons are not good since they tend to squeeze the veins and impede circulation. Sew
elastics inside heel not outside the shoe. Sew ribbons diagonally on the inside marked
by the diagonal crease of the heel fabric when folded forward.
VICTOR SCHOOL OF PERFORMING ARTS INTERNATIONAL
2700 NE 4th Street, Suite 210 Bend OR 97701 269-876-6439 victorperformingarts.com
SUMMER SCHEDULE 2015
Monday 3:30-4:30 Pre-Ballet: Beginning Ballet 1
6-7 Pointe
4:30-6 Intermediate Ballet
Tuesday 4-5 Beginning Ballet 2
6:30-8 Intermediate/Adv. Ballet
5-6:30 Beginning Ballet 3
______________________________________________________________________________
Wednesday
Thursday
Friday
4-5:30
5:00-6:30
Beginning Ballet 3
5:30-7 Intermediate Ballet
Intermediate/Adv. ballet
3:20-4:50 Intermediate Ballet
4:50-6:20 Beginning Ballet 3
Beginning ballet 1 (Pre-Ballet): ages 3-5 Creative dance; intro to ballet
Beginning ballet 2: ages 5-10 Ballet basics
Beginning ballet 3: ages 9 +: Students that are just learning & those who are more proficient, an older group. Intermediate ballet can be
classified as Intermediate/advanced; a mix of student-skills dance comfortably in this class. NOTE!! A new & exciting system of levels in our
school will be implemented this fall. This program involves special events where students give performance presentations whether in dance ,
public speaking or creative arts. Makeup Policy:
Those who miss class(es) may make them up within the next month. If
the class is not made up within this time, class is forfeited. It is at your own discretion and responsibility to
remember how many makeups you need to do; makeups are attended on an honor-basis.