Please fill in the form and print a copy before pressing the SUBMIT button. Then, bring your printed and signed copy to the first class.
Student's Name Age
Mailing Address:
Address
City State Zip
Tuitions are payable for the month in advance. Monthly statements are not mailed. tuitions are due on the first class of the month.
I understand that I will be responsible foro monthly tuitions until written notification of termination is received by Karl & DiMarco.
Tuitions and registration fees are non refundable.
Authorized Signature ______________________________________
Date _________________________
I would like to enroll in:
I would like to enroll at
EMERGENCY MEDICAL TREATMENT
.
In the event of an emergency, I
as parent/legal guardian authorize any physician or medical personnel to examine and if necessary treat my child (name of child)
Authorized Signature ___________________
a) Karl & DiMarco faculty and staff are in no way responsible for students going outside of
the studio premises and /or to local area food stores
b) If you will be more than 15 minutes late picking up after class please notify Karl &
DiMarco staff.
c) Siblings or friends visiting the studio must be in the company of an adult. Karl &
DiMarco staff are busy teaching class or in the office and cannot provide supervision for
visitors dropped off.
d) Students may not be dropped off for class more than 15 minutes before class starts.
(Special arrangements can be made with staff). It is the responsibility of the parent/legal
guardian to instruct student(s) to stay inside studio premises before and after class.
Please print this form out and sign it, before you hit the SUBMIT button.
Please bring the signed, printed copy with you to your first class. You will receive an email confirmation that we have recieved the form within a few days.
