Technique/Ballet/Tumble

Technique/Ballet/Tumble

This form is for students 6th-12th grade enrollment in technique, ballet, and/or tumbling classes only.
Student Name*

First NameLast Name
Student Age*
Student Birth Date*

MonthDayYear
Parent(s)/Guardian Name*

First NameLast Name
Parent Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Today's Date*

MonthDayYear
Date

Please see pricing for Dance Team/Other students listed below

Annual Registration - $50 (DH tshirt included)

Tuition

Ballet & 1 Technique = $105/month

Ballet, 1 Technique, & Tumble = $140/month

Ballet & 2 Technique = $140/month

Ballet, 2 Technique, & Tumble = $180/month

Tumble Only = $48/month

Tumble 30 min Private = $160/month

Monthly Tuition Payments

Tuition is invoiced monthly through Square. You may pay online or cash/check at Dance House. Please know there is a convenience fee if paying online.

Tution is due on the 1st of every month.

Please Note:
These technique, ballet, and tumbling classes have the possibility to be tentivatly cancelled or changed at any point during the 2025/2026 Dance House season due to Company Team costume fittings/extra rehearsals, etc. You will be notified of any changes.

You may also see our studio calendar on our website for dates throughout the season that the studio will be closed.

Thank you!
Please choose your class/es below.
Monday - Technique @ 7:30-8:15
Wednesday - Tumble @ 5:45-6:30
Wednesday - Technique 6:30-7:15
Thursday - Ballet 5:30-6:30
Private Tumble - Class Time TBD
Parent/Guardian Signature: I willingly grant permission for photographs/video of my child to be published for Dance House advertising via print media and the world wide web. I agree responsibility for the full tuition, which is broken down into monthly payments, that are due the 1st of each month. I agree to pay a $10.00 monthly late fee (for each month of late tuition), for tuition payments received by Dance House after the 8th day of the month they are due. Payments may be made online or by cash/check. Checks can be mailed to 208 Pine St. Highland, IL 62249. A $35 returned check fee will be added to your account for any checks returned unpaid. Students will not be allowed to participate in classes if tuition payments are more than 60 days past due. I acknowledge that there are NO REFUNDS. *

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Registration Payment*

Registration FeeTechnique, ballet, and/or tumble classes.

$50.00

Convenience Fee

$5.00

Total

$0.00

Credit Card

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