Register for Drop-in Classes — Monona Academy of Dance

This form is for dancers that plan to sign-up for drop-in classes at one or both of our studio locations. If you plan to sign-up for a full year or term of classes please visit our Academic Year Registration form HERE. For our drop-in students planning to take class inconsistently this only needs to be filled out once. If you have already filled this out previously, please continue on HERE to sign-up for this week’s class. Dancers under 18 must include parent/guardian information when signing up below.

Student Information

Student Name

Adult students please fill out your own name, students under 18 please put your own name and include a parent/guardian's below.

First Name

Last Name

Birth Date

Please fill in dancer's birth date.

YYYY

Medical Conditions (if applicable)

Please let us know if there are any health conditions staff should be aware of in class or around the studio. Contact the studio if there are any procedures staff needs to know in case of an emergency.

Parent/Guardian Name

Please put a parent/guardian name if the dancer is under 18.

First Name

Last Name

Phone Number

Please fill in your phone number to contact in case of weather emergency, issues with billing, class cancellations, etc. *Dancers under 18 should fill in a parent's phone number.

(###)

###

####

Please fill in your email to contact in case of weather emergency, issues with billing, class cancellations, etc. Check "sign-up for news and updates" if you would like to receive studio newsletters and notice of events. *Dancers under 18 should fill in a parent's email.

Emergency Contact

Please provide an individual to contact in case of injury. For parent/guardians signing up teens, please provide an individual besides the person listed above in case of emergency.

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Student Address

Please provide the dancer's address. This is used for billing purposes.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Billing

Person to Bill

*If different from adult student registering or above mentioned parent/guardian.

First Name

Last Name

Billing Email

*If different from original email input above.

To assist you better...

Please tell us a little about yourself! Information collected below helps us help you. We can better suggest what classes to take or how often to attend based on your information if you need help deciding.

What studio location is most convenient for you?

Madison (located at 2605 S. Stoughton Rd.)

Sun Prairie (located within the Sun Prairie Ice Arena at 838 Grove St.)

Both are convenient

Briefly describe your dance background.

Add as much or as little as you'd like, we warmly welcome beginners.

Questions/Comments

Share your dance background with us or send us a question.

How did you hear about us?

Statement of Understanding

I hereby acknowledge that I am responsible for payment of drop-in classes prior to attendance via the invoice that will be sent in email from QuickBooks. All families must maintain a valid credit card on file for incidentals and/or late scheduled payments. Failure to meet payment criteria will result in the instructor's ability to deny you/your dancer's entrance into class. I authorize Monona Academy of Dance to use me/my dancers's photo to promote or publicize the studio online or in print. I understand the physical demands and inherent risks involved in dance and guarantee the registered student to be in sound physical condition. I agree to hold Monona Academy of Dance LLC, its officers, agents and employees in both individual and official capacities, harmless from liability for injury, damage or loss to property or person as a result of participation in any Monona Academy of Dance LLC activities. I hereby agree that I/my dancer will not attend class if I/they are exhibiting any COVID-19 or other flu like symptoms and/or severe cough. I acknowledge Monona Academy of Dance reserves the right to cancel any classes with inadequate enrollment. I acknowledge I am signing up for singular classes with Monona Academy of Dance and will be billed per class. Billing is done within 24 hours of sign up and invoices must be paid prior to class attendance. Cancellations under 8 hours are non-refundable. In an emergency situation please email the office for a maximum 40% refund. Refunds prior to 12 hours notice will be given in full minus a 10% processing fee. Monona Academy of Dance reserves the right to cancel any drop in class with expected attendance of 2 or less dancers. I have read, understand and will abide by the policies set forth in the Classes Tab of this website and by Monona Academy of Dance LLC. All policies are listed under the Classes Tab.

Signature

Signature accepting Statement of Understanding and agreeing to maintaining a valid credit card on file and authorizing payments on such card. Type your full name. Call studio at 608-221-4535 to provide card number or stop in prior to first payment date to provide card information. Do not email.

First Name

Last Name

Date of Signature

YYYY