Spring Tuition Options 1 Weekly Class: Latin OR Hip-Hop : $55.00 USD - monthly 2 Weekly Classes: Latin & Hip-Hop OR Latin & Fusion Class : $65.00 USD - monthly 3 Weekly Classes: Latin, Hip-Hop & Fusion Class : $75.00 USD - monthly 2 SIBLING DISCOUNT: Spring Tuition Options 1 Weekly Class: Latin OR HH for 2 dancers : $90.00 USD - monthly 2 Weekly Classes: Latin / HH OR Latin / Fusion for 2 dancers : $110.00 USD - monthly 3 Weekly Classes: Latin, HH & Fusion Class for 2 dancers : $205.00 USD - monthly 1 Class / Week for 1 Sibling & 2 Class / Week for 2nd Sibling : $100.00 USD - monthly Registration Form Student Information: DOB Any Allergies? Yes No PARENT(S)/GUARDIAN RESIDING WITH CHILD (if under 18) Relationship To Child Cell# Email Address: PARENT(S)/GUARDIAN RESIDING WITH CHILD (if under 18) Relationship To Child Cell# Email Address: PERSON(S) AUTHORIZED TO PICK UP CHILD/EMERGENCY CONTACT (if under 18) Relationship To Child Cell# ENROLLED CLASS (please check one) Pasitos (ages 4-6) Jovenes (ages 13-19) Summer 7 Week Series Intermedios (ages 7-12) PAYMENTS: Cash, Check (to Ritmos Academy) or Online via Website Subscription RELEASE & AUTHORIZATION I acknowledged that there is risk of injury when receiving dance instruction. In consideration of Ritmos Academy providing instruction to me/my child(ren), I release and forever discharge the studio and its employees from any and all liability, claim, or loss arriving from an injury to me/my child(ren) and waive any such claims against the studio and its employees. Ritmos Academy has permission to use photography of my child(ren) for advertising and marketing purposes. My child is in good health but in the event my child is in need of medical care, I authorize Ritmos Academy representatives to consent to any medically necessary treatment, medication, or hospital care in accordance with standard medical practice by licensed medical personnel. I release and agree to hold Ritmos and its affiliates harmless from any claims due to illness or injury suffered by my child in the course of receiving such medical responsibility. In agreeing to this release, I acknowledge and represent that I have read the foregoing Parental Authorization and Release Form and understand it. I understand and agree that this release is required for my child to participate in any and all activities. Signature of Agreement Send
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