Registration Form

Register for a class today!

Welcome dancers and parents to Magical Steps Music and Dance Academy.

The season is here and it is time to sign up for classes. Please review the class schedule and fill out ALL information needed to complete the registration form below. If your child would like to join the class on a regular basis, a payment may be made the first month by cash or check (made payable to MSMDA ). Space is limited, so please sign up today. Class is based on first-come first-serve basis. Dancers may enroll at any time during the year. Once classes are full you will placed on a waiting list. We are looking forward to meeting all of you and having your dancer/musician on their way to being touched forever by the Magic of the Arts.

Thank You!

If Registering for a 2nd class fill in below.

REGISTRATION FEE OF $25 FOR ONE PERSON AND $35 PER FAMILY

PLEASE READ AND SIGN

Permission slip, Registration, Release, and Authorization to consent to medical treatment of named student.
I parent of give my permission for my son/daughter to participate in the program provided by Magical Steps Music and Dance Academy. In consideration of receiving music and or dance instruction, including special classes, hereby release and forever discharge the said Magical Steps Music and Dance Academy their assistants, agents and/or employees and their families, of any and all claims for damage or damages of any kind, nature or description; more particularly which may grow out of receiving music and/or
dance instruction or participation in music and/or dance classes or other physical exercise or movement. You must further release, defend, and indemnify the Magical Steps Music and Dance Academy their assistants, agents facility all instructors and all people associated/affiliated with the facility from any claims or liability for damages from or in any way arising out of participation in this program. also give permission to include my child's image on video/pictures as he / she participates in class. In case of injury, accident, or other emergency. I hereby authorize the instructor to
secure medical care as deemed reasonable and/or necessary as a result of accident or injury to the participant. I further agree to pay any costs incurred as a result of such treatment. The parents further understand that participation in this program is undertaken by the student at the students own risk and Magical Steps Music and Dance Academy will not be held responsible for any personal injuries or losses of the student do to attending or participating in any class or performance. That said Magical Steps Music and Dance Academy and their assistants, agents will not be held liable for any claims, demands, expenses, injuries, damages, actions or cause of actions arising from acts of active or passive negligence in part of the school, its employees or instructors and is released and discharged from all such claims, demands, expenses, injuries, damages, actions or cause of actions.

Please read and initial the following:

- All payments are due by the 1st of each month. (Please Payment needs to be made at the studio) A late charge of $20.00 will be applied to any payment made after the 5th of the month . There will be a $25 service fee for all returned checks.

- You need to inform Magical Steps Music and Dance Academy by the 15th of the current month before withdrawing your child from a class, verbal notices will not be accepted. If you do not give us a written notice (drop Slip) by the 15th of the current month you will be responsible for the next months full tuition. (Tuition is nonrefundable)

Does your child have any medical problems and/or conditions we should know about?
YesNo

If “Yes” please explain:

Parents/legal guardian signature (by typing your name you are signing the sheet)

Print Name:

Date