2026 Fall Registration and Payment Form

2026/2027 Fall Registration
Parent Name

First NameLast Name
Parent Email
example@example.com
Telephone Number
Alternate
Telephone Number
Mobile
Student #1 Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student #1 Class Choices - Each Class Meets Once Per Week. This schedule is subject to change depending on the participation. We could add additional dates and times or change as needed. Click on box below to select classes. There is a guide below this section if you can't read the classes on your phone.
*******SOME PHONES WILL NOT ROTATE SO YOU MAY NOT BE ABLE TO TELL WHAT CLASS TO SELECT. THERE IS A FULL LIST OF CLASSES BELOW THE BILLING ADDRESS ON THIS FORM
Student #2 Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student #2 Class Choices - Each Class Meets Once Per Week. This schedule is subject to change depending on the participation. We could add additional dates and times or change as needed.
*******SOME PHONES WILL NOT ROTATE SO YOU MAY NOT BE ABLE TO TELL WHAT CLASS TO SELECT. THERE IS A FULL LIST OF CLASSES BELOW THE BILLING ADDRESS ON THIS FORM
Student #3 Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student #3 Class Choices - Each Class Meets Once Per Week. This schedule is subject to change depending on the participation. We could add additional dates and times or change as needed.
*******SOME PHONES WILL NOT ROTATE SO YOU MAY NOT BE ABLE TO TELL WHAT CLASS TO SELECT. THERE IS A FULL LIST OF CLASSES BELOW THE BILLING ADDRESS ON THIS FORM
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Comments
Monday - Hip Hop (Ages 10 and up) 4:45pm - 5:30pm

Monday - Hip Hop (Ages 5-9) 5:30pm - 6:15pm

Monday - Tumbling (Ages 5 – 9) 5:15pm - 6:00pm

Monday - Tumbling (Ages 10 and up) 6:00pm - 6:45pm

Wednesday - Preschool Tumbling/Ballet/Tap (Ages 3 – 4) 4:45pm - 5:30pm

Wednesday - Ballet/Tap (Ages 5 and up) 5:30pm - 6:15pm

Thursday - Preschool Ballet/Tap (Ages 3 – 4) 4:00pm - 4:45pm

Thursday - Tap/Jazz (Ages 5 and up) 5:30pm - 6:15pm

***Monday - Preschool Ballet/Tumbling (Ages 3 – 4) 4:45 pm - 5:15pm

***Monday - Cheer Dance (Ages 5 and up) 4:15 pm - 4:45 pm

***Thursday - Preschool Hip Hop (Ages 3 – 5) 4:15pm - 4:45pm

***30 MINUTE CLASSES - SELECT "PRESCHOOL" AT BOTTOM OF CLASS COLLECTION BELOW
Please click here to download policy located in "Forms" section of homepage

Legal Release and Policy Acceptance

I/we understand the Studio Policies

I/we understand my billing obligations

I/we understand the risks related to dance

I/we understand my responsibilities for my property

I/we understand the dress code

I/we give media use rights permission

I/we understand the attendance policy

By signing below, I have read and accept the Policy of Celia's Dance Academy.
Signature
All classes meet once per week. Students are invited to take more than 1 class and/or add siblings for discounts. Discounts are reflected in the rates below. There will be a total of 36 lessons for each class from August through May. This equates to 9 months of tuition due on the first day of each month. Breaks and Holidays are taken into consideration to calculate the 9 months (36 weeks)

Examples for Selection of classes below:

REMINDER - EACH CLASS MEETS 1 TIME PER WEEK. EITHER 4 OR 5 TIMES PER MONTH DEPENDING ON THE MONTH. HOLIDAYS ARE CONSIDERED IN CALCULATING THE WEEKS IN CLASS. TUITION DUE EACH MONTH IS THE SAME REGARDLESS OF NUMBER OF WEEKS IN CLASS. THE TOTAL WEEKS IN CLASS IS 36 WHICH EQUALS 9 MONTHS OF TUITION.

1 Child, 1 Class = "4 Sessions per month" $60 per month

1 Child, 3 Different Classes = "12 Sessions per month" $155 per month

2 Children, 1 Class each = "8 Sessions per month" $110 per month

2 Children, 2 Classes each = "16 Sessions per month" $195 per month

Select the total number of classes taken by all students to calculate monthly tuition

You must select one box below:
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1 CLASS PER MONTH
4 Sessions

$60.00



2 CLASSES PER MONTH
8 Sessions Save $5

$110.00



3 CLASSES PER MONTH
12 Sessions Save $10

$155.00



4 CLASSES PER MONTH
16 Sessions Save $15

$195.00



5 CLASSES PER MONTH
20 Sessions Save $40

$230.00



6 CLASSES PER MONTH
24 sessions Save $60

$260.00



PRESCHOOL 30 MINUTE CLASSES
$50.00 Quantity



Registration Fee
One time registration fee per family

$25.00



Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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2026/2027 Fall Registration

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