Dfx online Registration Form

We are grateful to welcome new and returning students to our Dancefx Family for our new online session!

We look forward to helping you continue to grow and are grateful we can stay connected with you, our dance family online!

DECEMBER Session Tuition Rates:

$49/month includes unlimited access to all online classes, recurring charge on credit card of your choice, auto-drafts on the first of each month

$80 Unlimited Online December Session for unlimited access to all online classes through Zoom 11/22/20-1/11/21

$40 Just-For-Beginners Package includes one online class per week from the Just-For-Beginners Schedule 12/1/20-1/11/21

$59 Just-For-Beginners Unlimited includes unlimited access to online classes from the Just-For-Beginners Schedule 12/1/20-1/11/21

Our Standard Registration Fee is Waived for this session.

Dancer's Name

First Name

Last Name

Gender

Dancer's Birthdate

YYYY

Parent's Name (if under 18)

Street Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone Number

(###)

###

####

How did you hear about Dancefx?

Payment

Any option other than autopayment with a card on file requires an additional $5 monthly processing fee. Any tuition payments received after the 5th of the month automatically incurs an additional $15 late fee. Installment and Paid In Full payment options are not available for online classes.

Credit Card Information

Please indicate your credit card number, expiration date, security code, and billing zip code if you would like to use a card as your method of payment.

Would you like us to save this card information on file to be used in the future? If you select "no" the information will be disposed of immediately following the initial charge. Card information kept on file is encrypted as soon as it is saved on the dancer's account. If you elected the autopay payment option, your card information will automatically be stored and encrypted.

Yes please

No thank you

Which class(es) are you interested in for enrollment?

Please write your full name and today's date to indicate you have read and agree to the following policy: I understand I am entering into a tuition contract and if I have not selected autopayments, a $5 processing fee will be added to my monthly tuition. I agree to pay tuition on the 1st of the month unless I give my notice to withdraw. I understand tuition is NON-REFUNDABLE.

Please write your full name and today's date to indicate you have read and agree to the following policy: I understand by registering for classes at Dancefx, I have entered into a contract. Tuition payments received later than the end of the business day on the 5th of each month will automatically be charged a $15 late fee on their account. For accounts that are more than two weeks overdue, the dancer will lose access to the online content until the balance is paid.

Please write your full name and today's date to indicate you have read and agree to the following policy: If I choose to discontinue classes, I understand that I must notify Dancefx in writing to Allison@dancefx.org or Cheryl@dancefx.org 5 business days prior to the date tuition payments are charged. I understand that I am responsible for paying monthly tuition if the withdrawal process was not completed according to this policy.

Please write your full name and today's date to indicate you have read and agree to the following policy: I understand that unlimited tuition starts on the date tuition is charged and ends on the last day of the month, and that my tuition payment grants me access to any online class. I understand that if I or my dancer is unable to attend classes, the tuition period still expires at the end of the month. No refunds will be given for any unused classes.

Please use the space below for any notes or questions.

Thank you for registering yourself or your dancer at DFX Online! Please note that by submitting your electronic signature above, you are providing an electronic mark that is held to the same standard as a legally binding equivalent of a handwritten signature provided by you. Your registration will not be completed until payment has been received, and we must have a signed liability waiver on file prior to the dancer's first class. Please contact Cheryl@dancefx.org, call our front desk at 706-355-3078 to submit information for payment if you have not done so within this form.

OK!

Optional: If you would like to add a one-time or recurring donation to help support Dancefx, we greatly appreciate it! We are a federally recognized 501(c)(3) organization and any donations made are tax deductible.

Please enter the amount and if you'd like it to be a one-time or recurring donation.

Dfx online Registration Form

DECEMBER Session Tuition Rates:

To complete your registration, please sign this liability waiver.