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The Rhythm of Ireland School of Irish
Dance
Director, Debbie Bristol TCRG Revision 05/07
757-498-0840
roischool@cox.net
-----------------ENROLLMENT FORM
2010-2011------------------
Starts 9/7/2010 (Please complete all
fields)
Date_______________ Name (Student) ______________________________________________________DOB___________________ Name (Parent) ________________________________________________________________________US Shoe size_______________ Address_______________________________________________________ City_______________________ Zip __________________ Home Phone ___________________________ Cell Phone ______________________Email___________________________________ Emergency Contact_____________________________________________________________________________________________ I hereby apply for myself/my child to become a student of The Rhythm of Ireland. I/we have received the Student/Parent Handbook and agree to read and follow all of the policies and procedures of the school. (initial) ________I understand that tuition is due on the first day of each month in advance and on the 16th day a late fee will be invoiced on any outstanding balances owed. (initial)________ Registration and tuition fees are non-refundable. (initial)___________ I understand there is a one month minimum on any class signed up for. If classes are missed during any month I am still responsible for the entire month unless cancelled in writing 15 days prior to non-participation in class. (initial)_________ Missed classes due to illness or emergency are made up in another class at any time during the year. (initial)________ A $25 late fee will be owed if tuition is not paid by the 15th of the month________ Tuition is based on 4 weeks X 12 months = 48 classes per year. Some months have 5 weeks & some months have 3 weeks.Signature_________________________________________________ Date___________
Virginia Beach School
Yorktown Location
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