STUDENT
REGISTRATION

FOLLOW THESE SIMPLE STEPS

FILL THE FORM

This form is filled out only once when you register to carry out a course or an activity

REGISTRATION FORM

print and sign

Print and sign the releases that you must bring on the first day of classes

RELEASE

CLASSES AND COURSES

Choose the course(s) you want to participate in

COURSES

STUDENT REGISTRATION

Student Record Type

Adult Student

Student less than 17 y/o

Student First name

Student Last name

Birthday

Parent Name

Parent Last name

Email

Phone

I agree to receive promotional messages sent via an autodialer, and this agreement is a condition of any purchase

Street Address

City

Region/State/Province

Postal / Zip code

Emergency contact name and phone

Medical concerns or needs of the student:

The following information is provided to help you understand our studio’s policies and procedures. Please check each box below to indicate your understanding and agreement.

DANCE CLASS DESCRIPTION: All dance classes will be held in person at Venezuela MARKA. We may use virtual classes as a replacement to meet in person at Venezuela Marka’s discretion.

DANCE ATTIRE: Dance shoes and clothing can be purchased directly with us. We offer a “Recycle” program where outgrown shoes and clothes can be exchanged at no cost.

HOLIDAYS: The studio will be closed for Labor Day, Halloween, Veterans Day, Thanksgiving Break, Christmas Break, MLK Day, Presidents Day, Good Friday, Easter, Spring Break, Memorial Day, and Independence Day. There are no make-up classes for Holiday closures.

EMERGENCIES: In the case of an Emergency (ex: hurricane), please call the studio and listen to the message for a closing schedule.

ATTENDANCE: There are no refunds for classes missed. Should a student have to miss class for illness or emergency, make up classes are allowed within 30 days. Call the office or email us to schedule your dancers make up class. If the same style class is not available, student may make up class in other style. There are no make-up classes for Holiday closures.

CLASS FEES & TUITION PAYMENTS: The monthly fee for ALL classes remains the same every month, regardless the amount of weeks’ dance takes place that month. Class tuition is to be received by the 25th of the prior month. A late fee of $25 will automatically be applied at 6 p.m. on the 1st, and will not be waived for any reason. Students will not be allowed to attend class if payment has not been received by 6 pm on the 1st. In the event payment has not been received within 30 days of demand, all collection costs including attorneys’ fees shall be paid by the customer. You may pay by check, cash, Discover, Visa, or MasterCard. *Tuition payments are Non-Refundable*

NOTICE TO WITHDRAW: Please remember that we hold your child’s spot in their registered class each month. If you need to withdraw, you MUST complete our Withdraw Form 15 days prior to the last day of the month. The Withdraw Form must by email to info@venezuelamarka.org. This allows us to open a spot for someone else and to remove you from our system, so you are not billed. If the Withdraw Form is NOT received, you WILL be billed for the following month. If your dancers missed 4 consecutive weeks of dance with no notice, you will be automatically withdrawn and will need to re-register. The re- registration fee is $20. This fee only applies within the same season.