Parent Name *

First Name

Last Name

Dancer Name

First Name

Last Name

I understand that if I am submitting this form on or before the 20th of the month, my dancer will be dropped from their current class(es) at the end of the current month, and my card will not be charged for tuition on the 25th. If I am submitting this form between the 20th and the end of the month, I will still be charged for the following month's tuition and my dancer will remain enrolled until the end of the next month. I understand that I am still responsible for any outstanding fees, which will be charged to the credit card on file, and that performance and costume fees are nonrefundable even if I do not participate in the performance. *

I Agree