Northland School of Dance

Ballet and Dance School in Champlin, MN

Dance Studio | Champlin, MN
763-421-5443

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- Register For 2019-2020 Dance Season
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Register For Classes At Northland School of Dance

Recreational Dance
Technique Classes
Pre-Comp Dance
Competition Dance
Boys Only Classes
Precious Gems Special Needs Dance
Adults Dance Classes
Schedules subject to change

Ready to register? Fill out our Registration Form below:

The 2019 – 2020 Dance Season Schedule can be downloaded here

2019 - 2020 Dance Season Registration

This form is required for all students, both new and returning, that wish to attend any class at Northland School of Dance.

Step 1 of 7

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Today's Date*
Date Format: MM slash DD slash YYYY
Student Information
Student's Name*
First Last
Student's Date of Birth*
Date Format: MM slash DD slash YYYY
Grade in School (2019 - 2020 school year)*
Returning Students: Are you receiving a trophy in July 2020 production? (3,5,8,10,13,15 years of dance study) Please specify.
Student Home Address*
Street Address Address Line 2 City State ZIP Code
Student Email
Student Home Phone Number
Student Cell Number

Parent Information
Parent #1 Name*
First Last
Parent #1 Work Number*
Parent #1 Cell Number*
Parent #1 Email*
Parent #2 Name
First Last
Parent #2 Work Number
Parent #2 Cell Number
Parent #2 Email

Classes
Class Choice*
- Recreational
- Pre-Competition (audition required)
- Competition (audition required)
Recreational Class Choice: List Day and Time.
For Competing Students - Do you wish to be an Unlimited Student?
(Unlimited Students commit to the program and its fees from September 2019 through June 2020)
Available to all students: Would you like Northland to design a personalized payment plan (P3) for you?*
Some families find that Personal Payment Plans (P3) are helpful for their budgets as all estimated costs that may come up throughout the year are averaged into 9 or 10 even payments that are automatically withdrawn from a pre-approved account each month. Any balance due or refunds coming are reconciled in the last 2 months.
Payment Options
Please come in to the studio or call Barb at 763-421-5443 during studio hours to accept payment information over the phone. Registration is not considered complete until payment is made.
I will pay by:*
- I will go to the Studio during open hours for payment
- I will call the Studio during open hours to make payment arrangements over the phone
Registration Fee: $50 first student / $30 each additional student in the same family

Health History
Please list any health issues or concerns below:

How did you hear about us?
How Did You Hear About Northland School of Dance?*
- Website
- Facebook
- Instagram
- Mail / Sign
- Competition
- Friend
Name of Friend
Room Parent
Are you an organized person that would like to be involved in your dancer's class as the Room Parent? RPs receive a monthly tuition discount. If you have been selected as RP you will be informed by the first lesson in September. There will be a mandatory meeting to learn how to effectively be a RP.
Are you interested in becoming a room parent?*
Your Name
First Last
Your Phone Number
Your Email

Important Requirements For Groups
I agree my child will perform in all performances and events in which their group participates.*
I agree to purchase class costumes necessary to the group.*
I agree to purchase the required Northland tights, shoes, hair piece and accessories for costume.
I am aware dance lesson fees are a 10 month commitment, but with a 9 month payment plan.*
I am aware should lessons be discontinued, I will pay for the full month, with no refunds, including the registration fee.*
I am aware there is a $20 late fee for any individual fees that are not paid by the due date. This includes lessons, costumes, competition, YEP fees, workshop fees. or P3 installment payments.*
I give Northland School of Dance permission to use photos/video of studio related events, including classroom instruction, workshops, events, and Year End Production for advertising / promotional purposes.*

I hereby release all persons affiliated with Northland School of Dance from any and all claims for damages or injuries which may be sustained while participating in any and all activities connected with Northland School of Dance. I also agree to adhere to all policies of Northland School of Dance.
By selecting either a 'yes' or 'no' response below, and providing your name and clicking 'Register' you are agreeing to use this as an electronic signature.
I understand the above information, and I have filled out this form accurately and completely to the best of my knowledge. I understand that by not accepting any part of the terms and conditions, it may not be possible to be accepted in a class or competition company.*
Your Name*
First Last
Register
Secure placement in the class of your choice by submitting this form and making the appropriate payment arrangements. New dancers please stop into the studio to receive a tour and meet the staff. No confirmation of your registration is necessary. You will be notified if there is a change to your class. Classes begin September 9, 2019.
Phone
This field is for validation purposes and should be left unchanged.

Northland School of Dance is a full service dance studio located in Champlin MN. Students attend classes from the surrounding areas of Anoka, Coon Rapids, Andover, Brooklyn Center, Brooklyn Park, Maple Grove, Rogers, St. Michael, and other neighboring communities.

We offer dance classes in both recreational and competitive levels, for ages 2 ½ – adult. Classes include: jazz, tap, ballet, Pointe’, lyrical, contemporary, hip hop, acro, boy only classes, special needs classes, adult classes, a full range of technique classes and more!

763-421-5443
Champlin, MN

© Copyright 2017 Northland School of Dance · Champlin, MN · 763-421-5443

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