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Registration Date: June 28, 2022 

 

TUITION POLICY

Monthly tuition payments include technique classes. Tuition payments are due the first saturday of each month. All tuition payments must be paid on time. Late tuition payments will negatively affect your daughter/son's opportunity to attend class, and participate in this program. 

 

NO REFUNDS 

Tuition and Registration Fee are non refundable. If you choose to drop a class you must do so before the end of the month otherwise you will be charged for the following month’s tuition.

I hereby understand and agree to the no refund policy:

I Agree
 

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Select Child(s) Class Group
Kindred Spirits (Ages 4-8)
Kijana Souls (Ages 9-12)
Kinetic Senses (Ages 13-18)
Select Kindred Spirits Classes

*Buy 3 or more classes get 1 half off

$65 each class
Acro 9:00am-9:30am
Ballet 9:30am-10:15am
Hip Hop 10:15am-10:45am
African 10:45am-11:15am
Select your optional half off class
Acro 9:00am- 9:30pm

*Disclaimer: You can select as many genres as you like. Selections can only be made within your child's age bracket. Age groups cannot be mixed to receive the class discount. 

Kindred Spirits Attire Package (Ages 4-8)
Leotard ($20)

Specify Leotard Size (ex. Small...)
Tights ($10)

Specify Tights Size (ex. Small...)
Lapa ($10)
Ballet Slippers ($30)

Specify Shoe Size
Tap Shoes ($20)

Specify Shoe Size
Select Kijana Souls Classes

*Buy 3 or more classes get 1 half off

$75 each class
Acro 11:15am-12:00pm
Ballet 12:00pm-12:45pm
Tap 12:45pm-1:30pm
Jazz 1:30pm-2:15pm
African 4:00pm-4:45pm
Select your optional half off class
Majorette 4:45pm-5:30pm
Hip Hop 5:30pm-6:15pm

*Disclaimer: You can select as many genres as you like. Selections can only be made within your child's age bracket. Age groups cannot be mixed to receive the class discount. 

Kijana Souls Attire Package (Ages 9-12)
Leotard ($25)

Specify Leotard Size (ex. Small...)
Tights ($10)

Specify Tights Size (ex. Small...)
Lapa ($15)
Ballet Slippers ($35)

Specify Shoe Size
Tap Shoes ($25)

Specify Shoe Size
Jazz Shoes ($20)

Specify Shoe Size
Select Kinetic Senses Classes

*Buy 3 or more classes get 1 half off

$75 each class
Ballet 2:30pm-3:15pm
Modern 3:15pm-4:00pm
African 4:00pm-4:45pm
Select your optional half off class
Majorette 4:45pm-5:30pm
Hip Hop 5:30pm-6:15pm

*Disclaimer: You can select as many genres as you like. Selections can only be made within your child's age bracket. Age groups cannot be mixed to receive the class discount. 

Kinetic Senses Attire Package (Ages 13-18)
Leotard ($30)

Specify Leotard Size (ex. Small...)
Tights ($10)

Specify Tights Size (ex. Small...)
Lapa ($15)
Ballet Slippers ($35)

Specify Shoe Size
Select Class Payment Period
Payment must be paid via Zelle to Ntrinsikmovement@gmail.com or CashApp $Ntrinsik Movement
Payment Monthly
Payment Yearly
Please Specify Below
Please check below if your child is vaccinated or unvaccinated. Being vaccinated or unvaccinated will not affect their chances of participating in the dance season.
Vaccinated
Unvaccinated
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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