Dancer Name *

First Name

Last Name

Dancer D.O.B *

MM

DD

YYYY

Parent/Guardian Name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Student Agreement *

POLICIES (Not applicable to free, trial or open house classes) TUITION PAYMENT SCHEDULE The annual registration fee is payable at the beginning of the first class. Monthly tuition is to be paid at the first class of each month. Some months will have three classes and other months five classes. Tuition does not change with these monthly variations. PAYMENT METHODS Tuition is payable via eCheck or CC (3% fee) invoice to the Ryan Academy of Irish Dance. Payments received more than 7 days after invoice date may l be assessed a $10.00 late fee. CANCELLATIONS AND MAKEUPS POLICY Classes cancelled for weather or other circumstances will be covered either by make-up lessons or adjusted tuition for the next month at the discretion of The Ryan Academy. A class with an enrollment of less than 5 may be subject to cancellation. In case of cancellation all payments will be fully refunded. Parents/guardians are responsible for lesson fees, whether or not the dancer attends class. Credit is not given for missed classes. REFUNDS FOR WITHDRAWAL 100% refund if notified before the first class of the month. 50% refund if notified after the first class of the month. Session Tuition will not be refunded after the second class of the month.

I have read, understood and agree to the policies outlined above.