Navarre Dance Registration A Time To Dance First Call Registration Please fill out the form below to register. You will be contacted for payment information. New or Returning Dancer* New Dancer Returning Dancer Returning Dancer - Need To Update Information On File Session* Summer 2024 Fall/Spring 2024-25 How did you hear about A Time to DanceDrive ByWord of MouthOnline SearchFacebookWest Navarre Primary FlyerDaily PagesDirect MailBoo at the ZooParadeFestivalPlease select all that apply. Dancer Name* First Last Dancer Birthdate* Parent/Guardian Name* First Last Email* Phone*This number will be added to our text messaging system for important updates.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country List any Health or Medical conditions the studio should be aware of:Class Registration:*ClassDayTime Payment Method* Please Charge My Card On File Please Call Me To Get Updated Payment Information Please read and agree to the following:* I authorize A Time to Dance to automatically charge my card, account listed, or on file for the balances due on my A Time to Dance account. I understand that payments will be automatically made throughout the year for any balance due on my account. I understand that the payment amounts may vary as classes are added/dropped and as other charges/payments are applied to my account. This includes but is not limited to tuition, costume fees, recital fees, and merchandise. I understand that there will be NO CREDIT given for classes unattended or regardless of how many days are in any particular month. I’m aware that my account will be charged for the class even if the dancer does NOT attend. TUITION IS DUE BY THE 15TH OF THE MONTH for the entire month or a $10.00 LATE FEE will apply for that month & for every month until balance is paid. ALL TUITION IS NON-REFUNDABLE. I grant permission to A Time To Dance, the use of photographs and/or video of my child to promote dance and/or the dance studio. All students and the parents/legal guardian are aware of possible physical injury that may occur during dance/gymnastics classes, performances and/or rehearsals and are willing to assume those risks. It is agreed that A Time to Dance, it’s officers, directors and associates are NOT RESPONSIBLE FOR PERSONAL INJURY OR PROPERTY LOSS. I understand that A Time to Dance will continue to automatically charge my card as indicated above until the last payment is made for the registered Term, or until a withdrawal form is filled out. I understand that if I wish to discontinue payment due to ending classes early a two week notice to our office is required if you are withdrawing from a class. The office must receive a withdraw letter/form. I understand that if I need to discontinue payment due to ending classes early, or if I need to change my account information, we need a two weeks notice prior to the auto-deduct dates listed above in order to stop a payment from coming out. If you withdraw less than two weeks prior to the autopay date or anytime during a session, the classes paid for minus the two weeks withdrawal notice will remain as a credit on your account to be used for future tuition. Signature Required*Notes: Anything else we might need to know.