2022 HD Enrollment Contract Fields that have an * are required. "*" indicates required fields Step 1 of 4 25% Parent or Guardian's Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Other Emergency Contact Info (if desired) Consent* I HEREBY WAIVE, RELEASE, AND DISCHARGE Howell Dance and all divisions thereof of any and all liability and responsibility for injuries, sickness, pandemics, accidents, natural disasters and/or acts of God incurred during participation in and/or instruction of camps, competitions, intensives, private instruction, choreography or any activity I may participate.Student(s) EnrollingRegistration Type* Single Student Familly 1st Student's Name* First Last Prefers to be called Age* Date of Birth* MM slash DD slash YYYY Grade in September* School Attending Medical Conditions (if any)2nd Student's Name First Last Prefers to be called Age Date of Birth MM slash DD slash YYYY Grade in September School Attending Medical Conditions (if any)3rd Student's Name First Last Prefers to be called Age Date of Birth MM slash DD slash YYYY Grade in September School Attending Medical Conditions (if any) Class SelectionsFirst Class*Select a classShining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Wednesdays 5:00 - 5:45Shining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Saturdays 9:30-10:15Rising Stars - Kindergarten & 1st Grade (Ballet ● Tap ● Jazz) Saturdays 10:30-11:15Shooting Stars - 2nd Grade (Ballet ● Tap ● Jazz) Tuesdays 6:30 - 7:30Petites - must have completed Shooting Stars classes (Ballet ● Tap ● Jazz) Wednesdays 6:00pm - 7:30 (2 class fee)Intermediates - must have completed 2021-2022 Intermediate classes. Other dancers are permitted by approval only – must have experience (Ballet/ Lyrical ● Tap ● Jazz) Mondays 5:15-6:45 (2 class fee)Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:00 - 7:45 (Ballet/Lyrical/Contemporary- alternating weeks )Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:45 - 8:30 (Jazz- dancers must also take Ballet to enroll in this class)Musical Theater - must be in petite classes or ages 7 and up Wednesdays 7:30– 8:15 (dancers must be in another dance class to enroll in this class)Hip Hop - ages 12 & up Thursdays 7:30 - 8:15Second ClassSelect a classShining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Wednesdays 5:00 - 5:45Shining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Saturdays 9:30-10:15Rising Stars - Kindergarten & 1st Grade (Ballet ● Tap ● Jazz) Saturdays 10:30-11:15Shooting Stars - 2nd Grade (Ballet ● Tap ● Jazz) Tuesdays 6:30 - 7:30Petites - must have completed Shooting Stars classes (Ballet ● Tap ● Jazz) Wednesdays 6:00pm - 7:30 (2 class fee)Intermediates - must have completed 2021-2022 Intermediate classes. Other dancers are permitted by approval only – must have experience (Ballet/ Lyrical ● Tap ● Jazz) Mondays 5:15-6:45 (2 class fee)Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:00 - 7:45 (Ballet/Lyrical/Contemporary- alternating weeks )Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:45 - 8:30 (Jazz- dancers must also take Ballet to enroll in this class)Musical Theater - must be in petite classes or ages 7 and up Wednesdays 7:30– 8:15 (dancers must be in another dance class to enroll in this class)Hip Hop - ages 12 & up Thursdays 7:30 - 8:15Third ClassSelect a classShining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Wednesdays 5:00 - 5:45Shining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Saturdays 9:30-10:15Rising Stars - Kindergarten & 1st Grade (Ballet ● Tap ● Jazz) Saturdays 10:30-11:15Shooting Stars - 2nd Grade (Ballet ● Tap ● Jazz) Tuesdays 6:30 - 7:30Petites - must have completed Shooting Stars classes (Ballet ● Tap ● Jazz) Wednesdays 6:00pm - 7:30 (2 class fee)Intermediates - must have completed 2021-2022 Intermediate classes. Other dancers are permitted by approval only – must have experience (Ballet/ Lyrical ● Tap ● Jazz) Mondays 5:15-6:45 (2 class fee)Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:00 - 7:45 (Ballet/Lyrical/Contemporary- alternating weeks )Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:45 - 8:30 (Jazz- dancers must also take Ballet to enroll in this class)Musical Theater - must be in petite classes or ages 7 and up Wednesdays 7:30– 8:15 (dancers must be in another dance class to enroll in this class)Hip Hop - ages 12 & up Thursdays 7:30 - 8:15Fourth ClassSelect a classShining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Wednesdays 5:00 - 5:45Shining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Saturdays 9:30-10:15Rising Stars - Kindergarten & 1st Grade (Ballet ● Tap ● Jazz) Saturdays 10:30-11:15Shooting Stars - 2nd Grade (Ballet ● Tap ● Jazz) Tuesdays 6:30 - 7:30Petites - must have completed Shooting Stars classes (Ballet ● Tap ● Jazz) Wednesdays 6:00pm - 7:30 (2 class fee)Intermediates - must have completed 2021-2022 Intermediate classes. Other dancers are permitted by approval only – must have experience (Ballet/ Lyrical ● Tap ● Jazz) Mondays 5:15-6:45 (2 class fee)Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:00 - 7:45 (Ballet/Lyrical/Contemporary- alternating weeks )Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:45 - 8:30 (Jazz- dancers must also take Ballet to enroll in this class)Musical Theater - must be in petite classes or ages 7 and up Wednesdays 7:30– 8:15 (dancers must be in another dance class to enroll in this class)Hip Hop - ages 12 & up Thursdays 7:30 - 8:15Fifth ClassSelect a classShining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Wednesdays 5:00 - 5:45Shining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Saturdays 9:30-10:15Rising Stars - Kindergarten & 1st Grade (Ballet ● Tap ● Jazz) Saturdays 10:30-11:15Shooting Stars - 2nd Grade (Ballet ● Tap ● Jazz) Tuesdays 6:30 - 7:30Petites - must have completed Shooting Stars classes (Ballet ● Tap ● Jazz) Wednesdays 6:00pm - 7:30 (2 class fee)Intermediates - must have completed 2021-2022 Intermediate classes. Other dancers are permitted by approval only – must have experience (Ballet/ Lyrical ● Tap ● Jazz) Mondays 5:15-6:45 (2 class fee)Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:00 - 7:45 (Ballet/Lyrical/Contemporary- alternating weeks )Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:45 - 8:30 (Jazz- dancers must also take Ballet to enroll in this class)Musical Theater - must be in petite classes or ages 7 and up Wednesdays 7:30– 8:15 (dancers must be in another dance class to enroll in this class)Hip Hop - ages 12 & up Thursdays 7:30 - 8:15Sixth ClassSelect a classShining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Wednesdays 5:00 - 5:45Shining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Saturdays 9:30-10:15Rising Stars - Kindergarten & 1st Grade (Ballet ● Tap ● Jazz) Saturdays 10:30-11:15Shooting Stars - 2nd Grade (Ballet ● Tap ● Jazz) Tuesdays 6:30 - 7:30Petites - must have completed Shooting Stars classes (Ballet ● Tap ● Jazz) Wednesdays 6:00pm - 7:30 (2 class fee)Intermediates - must have completed 2021-2022 Intermediate classes. Other dancers are permitted by approval only – must have experience (Ballet/ Lyrical ● Tap ● Jazz) Mondays 5:15-6:45 (2 class fee)Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:00 - 7:45 (Ballet/Lyrical/Contemporary- alternating weeks )Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:45 - 8:30 (Jazz- dancers must also take Ballet to enroll in this class)Musical Theater - must be in petite classes or ages 7 and up Wednesdays 7:30– 8:15 (dancers must be in another dance class to enroll in this class)Hip Hop - ages 12 & up Thursdays 7:30 - 8:15Seventh ClassSelect a classShining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Wednesdays 5:00 - 5:45Shining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Saturdays 9:30-10:15Rising Stars - Kindergarten & 1st Grade (Ballet ● Tap ● Jazz) Saturdays 10:30-11:15Shooting Stars - 2nd Grade (Ballet ● Tap ● Jazz) Tuesdays 6:30 - 7:30Petites - must have completed Shooting Stars classes (Ballet ● Tap ● Jazz) Wednesdays 6:00pm - 7:30 (2 class fee)Intermediates - must have completed 2021-2022 Intermediate classes. Other dancers are permitted by approval only – must have experience (Ballet/ Lyrical ● Tap ● Jazz) Mondays 5:15-6:45 (2 class fee)Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:00 - 7:45 (Ballet/Lyrical/Contemporary- alternating weeks )Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:45 - 8:30 (Jazz- dancers must also take Ballet to enroll in this class)Musical Theater - must be in petite classes or ages 7 and up Wednesdays 7:30– 8:15 (dancers must be in another dance class to enroll in this class)Hip Hop - ages 12 & up Thursdays 7:30 - 8:15Eighth ClassSelect a classShining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Wednesdays 5:00 - 5:45Shining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Saturdays 9:30-10:15Rising Stars - Kindergarten & 1st Grade (Ballet ● Tap ● Jazz) Saturdays 10:30-11:15Shooting Stars - 2nd Grade (Ballet ● Tap ● Jazz) Tuesdays 6:30 - 7:30Petites - must have completed Shooting Stars classes (Ballet ● Tap ● Jazz) Wednesdays 6:00pm - 7:30 (2 class fee)Intermediates - must have completed 2021-2022 Intermediate classes. Other dancers are permitted by approval only – must have experience (Ballet/ Lyrical ● Tap ● Jazz) Mondays 5:15-6:45 (2 class fee)Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:00 - 7:45 (Ballet/Lyrical/Contemporary- alternating weeks )Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:45 - 8:30 (Jazz- dancers must also take Ballet to enroll in this class)Musical Theater - must be in petite classes or ages 7 and up Wednesdays 7:30– 8:15 (dancers must be in another dance class to enroll in this class)Hip Hop - ages 12 & up Thursdays 7:30 - 8:15Ninth ClassSelect a classShining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Wednesdays 5:00 - 5:45Shining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Saturdays 9:30-10:15Rising Stars - Kindergarten & 1st Grade (Ballet ● Tap ● Jazz) Saturdays 10:30-11:15Shooting Stars - 2nd Grade (Ballet ● Tap ● Jazz) Tuesdays 6:30 - 7:30Petites - must have completed Shooting Stars classes (Ballet ● Tap ● Jazz) Wednesdays 6:00pm - 7:30 (2 class fee)Intermediates - must have completed 2021-2022 Intermediate classes. Other dancers are permitted by approval only – must have experience (Ballet/ Lyrical ● Tap ● Jazz) Mondays 5:15-6:45 (2 class fee)Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:00 - 7:45 (Ballet/Lyrical/Contemporary- alternating weeks )Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:45 - 8:30 (Jazz- dancers must also take Ballet to enroll in this class)Musical Theater - must be in petite classes or ages 7 and up Wednesdays 7:30– 8:15 (dancers must be in another dance class to enroll in this class)Hip Hop - ages 12 & up Thursdays 7:30 - 8:15Tenth ClassSelect a classShining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Wednesdays 5:00 - 5:45Shining Stars - ages 3 & 4 PRE-K (Ballet ● Tap ● Creative Movement) Saturdays 9:30-10:15Rising Stars - Kindergarten & 1st Grade (Ballet ● Tap ● Jazz) Saturdays 10:30-11:15Shooting Stars - 2nd Grade (Ballet ● Tap ● Jazz) Tuesdays 6:30 - 7:30Petites - must have completed Shooting Stars classes (Ballet ● Tap ● Jazz) Wednesdays 6:00pm - 7:30 (2 class fee)Intermediates - must have completed 2021-2022 Intermediate classes. Other dancers are permitted by approval only – must have experience (Ballet/ Lyrical ● Tap ● Jazz) Mondays 5:15-6:45 (2 class fee)Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:00 - 7:45 (Ballet/Lyrical/Contemporary- alternating weeks )Junior / Teens – ages 12 & up who have completed 2021-2022 Junior/Teen classes. Other dancers are permitted by approval only – must have experience Mondays 7:45 - 8:30 (Jazz- dancers must also take Ballet to enroll in this class)Musical Theater - must be in petite classes or ages 7 and up Wednesdays 7:30– 8:15 (dancers must be in another dance class to enroll in this class)Hip Hop - ages 12 & up Thursdays 7:30 - 8:15 Studio Information & Policy ContractI am aware that all students must be accompanied through the parking lot to and from the studio by a parent or guardian. I understand that all students must be in class, ready to dance in the proper attire listed below or they will not be permitted to participate in class: Check the boxes below to agree to the terms of the contract. Shining Stars: Pink leotard, pink tights, black tap shoes with Velcro/buckle straps or elastic ties and pink ballet shoes. Only fitted wrap sweaters and wrap ballet skirts are permitted to be worn over the leotard. Hair must be pulled up in a bun, tight ponytail or braid.Rising Stars: Light Purple or Lavender leotard, pink tights, black tap shoes with Velcro/buckles or elastic ties and pink ballet shoes. Only fitted wrap sweaters and wrap ballet skirts are permitted to be worn over the leotard. Hair must be pulled up in a bun, tight ponytail or braid.Shooting Stars: Light Blue leotard, pink tights, black tap shoes with Velcro/buckles or elastic ties and pink ballet shoes. Only fitted wrap sweaters and wrap ballet skirts are permitted to be worn over the leotard. Hair must be pulled up in a bun, put in a tight ponytail or braid.Petite, Intermediate, Junior & Teen: Black leotard, pink, tan, or black tights, black tie up/laced tap shoes, pink ballet shoes, and tan split sole jazz shoes. Only fitted wrap sweaters, a tight black tank top, wrap ballet skirts, dance shorts or calf length tight leggings are permitted to be worn over their leotards. Hair must be pulled up in a bun, tight ponytail or braid.Hip Hop: Athletic wear or funky hip hop attire (no jeans). No mid-drift showing. (If the dancer wears shorts that are above the knee, and they must wear tights). Dancers must wear low top sneakers and they must be a separate pair of sneakers for class, not to be worn outside. Hair must be pulled up in a bun, tight ponytail or braid and hats are not permitted.Boy’s class attire: Boys can wear sport shorts, sweats, or any loose fitting pants that to not go past their ankle (not jeans) with a tank top or t-shirt..No food or drinks are permitted in the studios except for water.Timely Payment* I agreeAll tuition and costume balance payments must be paid on time. Any payments not received into the studio by the due date will be automatically charged on the following day onto your backup credit card or check withdrawal account with a $10 late fee. Any backup credit card that is denied will incur an additional $25 fee. I also understand that Tuition is based on a yearly rate (not monthly) for 32 in studio or virtual classes. Information* I agreeI understand that information is sent through email and I will read all emails/information received from Howell Dance Of Dance. I will add HD as a contact in my email to avoid emails going to my spam folder. Doctor's Note* I agreeIf a student has any type of injury that a doctor required them to not participate in class, they will need to bring in a note stating how long they are not to participate. They will also need to bring in a medical release form to Howell Dance so we can permit them to participate in class. If a dancer complains about any injuries that inhibits their full participation in class, Howell Dance reserves the right to terminate instruction until a doctor’s note is received.Inclement weather* I agreeThe studio may not necessarily close for inclement weather, regardless if area schools are closed, since many times roads are clear and safe by the time our classes begin. If in doubt call the studio one half hour prior to your class to verify if we are open or not. You can also check out our Facebook for closing information. We do not offer makeup classes due to inclement weather.Refund Policy* I agreeI understand there are absolutely no refunds or credits on registration fees, tuition, costume deposits, costume balances or tickets. If a child is dropping a class, a “class withdrawal form” must be filled out in person by the parent. Tuition responsibility will cease beginning the first month following the date of the formal withdrawal through November. After November 30th, Parents are responsible for the remainder of the yearly tuition contract fees and no refunds will be issued.No Tolerance* I agreeHowell Dance Of Dance is a no tolerance studio. Any dancer bullying or threatening another dancer will be immediately dismissed with no refunds.Dress Rehearsal/Recital* I agreeEach family will receive 1 dress rehearsal ticket with the option of purchasing extra. If a family has 2 or more siblings performing in our end of the year recitals, there is no guarantee that they will be performing in the same show. Howell Dance will give a total of 2 complimentary tickets for 1 show in the event of the division of siblings. If a family has a sibling that is on our Diamond Dancer Team, we do not comp them recital tickets.Costumes* I agreeCostumes must be picked up by April 1st 2023 or the costumes will become property of Howell Dance & no refunds will be issued.Performance Bundle* I agreePerformance Bundle includes 1 recital T-shirt, 1 dress rehearsal wristband, 1 pair of tights, and a digital download of their performance. This will be due at the same time as costume payments. Consent:* I agree I hereby release and discharge Howell Dance their owners, agents, employees and instructors, from any and all liability, claims, demands or causes of action that I may hereafter have for injuries and damages arising out of any participation or competition activities.Consent* I agree.I HEREBY WAIVE, RELEASE, AND DISCHARGE Howell Dance and all divisions thereof of any and all liability and responsibility for injuries, sickness, pandemics, accidents, natural disasters and/or acts of God incurred during participation in and/or instruction of camps, competitions, intensives, private instruction, choreography or any activity I may participate.Consent* I agree.I hereby grant Howell Dance Inc permission to use my child's likeness in photographs, video or other digital reproduction in any and all of its publications past, present and future, including website entries, without payment or any consideration. I understand that any photographs/videos/digital reproductions using my likeness may be used for promotional and/or informational purposes. Consent* I agree.I hereby understand that failing to follow Howell Dance Of Dance’s policies may result in my child(ren)’s dismissal and no refunds will be permitted. Consent* I agree.I the undersigned, as parent or guardian of the above applicant/applicants, certify that I have read and received a copy of this contract. I consent to the applicant’s receiving the instruction applied for and I agree to the provisions of this contract for myself and said applicant/applicants. Registration Fee & Tuition Deposit for the Fall/Winter Session starting in September (at time of registration) + PAYMENT # 1- Due By September 16th PAYMENT # 2 –Due October 1 PAYMENT # 3- Due November 1 PAYMENT # 4- Due December 1 PAYMENT # 5 –Due January 1 PAYMENT # 6- Due February 1 PAYMENT # 7- Due March 1 PAYMENT # 8 - Due April 1 PAYMENT # 9 - Due May 1 FINAL PAYMENT Consent I agree to the payment schedule detailed above.Parent/Guardian’s Name: Digital Signature* Date* MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged.