1 North Main St. Manheim PA 17545 - 717-664-4018 - Fax: 717-665-4846 - info@cricketsperformingarts.com

 
 
 
 
 
 
  Discount Dance Supply
   
Registration Fee: $30.00 for Individual Student

Tuition will be due the 10th of every month ( Sept. 10th, Oct. 10th, etc), regardless of number of classes that meet in that month.

Tuition is a yearly fee, broken down into 10 payments for your convenience (pay by the 1st of each month and save 5%).

Please note: Returning students only need to fill out their name and note the class(es) they are interested in taking as well as any information that may be updated for our records

If you would like to mail in your registration, click here and send the completed form to Cricket's Performing Arts, 1 North Main St. Manheim PA 17545.
 
 
Student Name
Age
Address
City
State
Zip
Email
Birth Date
Year Enrolled at Cricket's
Student Since
Dance Experience
# of years / each type of Dance / Where / name of teacher
# of years with Cricket's (each type of dance + years)


Mother's Name
Home Phone
Work Phone

Father's Name
Home Phone
Work Phone

Person responsible
for payment
Emergency Contact
Relationship
Phone

Classes Interested In:
Ballet 
Jazz
Lyrical 
Tap 
Hip-Hop 
Acrobatics 
Yoga/Conditioning 
Cheer Dance 
Hip-Hop 
Creative Movement --Tumbling & Dance (ages 2 1/2 - 3) 
Ballet/Tap Combo (ages 4 - 7) 
Hippity Hop/Baby Bop(ages 5 - 8) 
Adult Tap 
Adult Ballet 
Adult Jazz 
Belly Dancing 

Earliest can Start Class
Latest to be at Studio for Class
Best day(s) for class(es)
Best time(s) for class(es)

You will be notified of available class times.


PAYMENT PLAN
$30 Non Refundable Registration Fee Due Upon Registration.
 
Annual - 10 mo. season 1 payment of $ due upon registration
2 Payment Plan 2 payments of $ due on 9/1 and 2/1
10 Payment Plan 10 payments of $ due 10th or each month
5% Discount If Paid By 1st of The Month
$5.00 Late Fee Per Week, Per Class After 10th Of The Month

If Enrollment is Canceled After The 15th Of The Month A One Month Cancellation Fee Will Be Charged For Each Class.

Please Submit Registration Fee and Class Payment to:
Cricket's Performing Arts, 1 North Main St. Manheim PA 17545


HOW DID YOU HEAR ABOUT US?

Additional Comments:

By submitting this form, I state that I have read all of the policy statements in their entirety, and determine that I understand, agree with and completely support all policies, rules and regulations of Cricket’s Performing Arts, and state that I am solely responsible for all payments due. I also agree to indemnify, and hold Cricket’s, it’s owners, employees, agents, and representatives free from any and all claims, damage or liability arising out of or resulting from the use and occupancy of the premises and including any event, authorized or sponsored by, Cricket’s School For The Performing Arts, it’s owners, employees, agents, or representatives.

We give permission to Cricket's Performing Arts to use any photographs - video- film- audio or any recording device and likeness for any and all purposes.

BEFORE CLICKING THE SUBMIT BUTTON, PLEASE PRINT THIS PAGE FOR YOUR RECORDS.

If you do not receive notification from Cricket's of your enrollment within 24 hours, please contact us.
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