Class registration is simple: Use our printable forms or just fill out our online registration below.

  1. Select age appropriate classes from our class schedule
  2. Fill out the registration form
  3. Review tuition agreement
  4. Review Student Member Packet

Remember,  new students are welcome to come a try a class for free.

Your Name

Your Email

FOR YOUR CONENIENCE, NOTIICES AND UPDATES WILL BE SENT HOME VIA EMAIL

Dancer's Name

Birth Date

2nd Dancer's Name

Birth Date

Guardian Name

Address

City

State

Zipcode

Phone#

Emergency Phone#

Injuries / Medical Conditions

PLEASE LIST CLASS WITH DAY & TIME (if on the competitive team, write team once)

Class #1

Class #2

Class #3

Class #4

How did you hear about us?

RELEASE OF LIABILITY AND PLEDGE By checking this box I do hereby release from all liability Back Stage Dance Center, LLC and its staff for all injuries sustained during the course of dance or dance related study on the physical premise of Back Stage Dance Center, LLC, Killingworth CT. Monthly tuition is due on the first of each month. A $10.00 late fee will be charged for any account received or postmarked after the fifteenth of each month of which it is due. If this past due amount is not received by the first of the next month an additional $10.00 will be charged, etc (see the office for details). There is a $30.00 charge for returned checks. Tuition is non-refundable. I will notify the office on or before November 1ST if the student is not able to participate in the recital, so a costume will not be ordered. Any student who leaves a particular class or the studio after this date will remain responsible for payment of the costume(s), and any tuition up to the date of notification. There are also no refunds or returns on costumes. Students will receive costumes sometime in April or May, provided all fees, up to and including that months tuition are paid. Students will not be allowed to participate in the recital if your account is not paid in full prior to the recital.

Payment Options (check one) I will pay annually and receive a 5% discount.I will pay monthly, please forward me a coupon book.I would like my credit card billed automatically within the first 5 days of each month & receive $5.00 off per month. If you are using a debit card and would like the money withdrawn on a specific day, please notify the office. I will notify the office of any changes to my credit card information, failure to do so will result in late fees charged to my account. I understand Back Stage Dance Center, LLC will continue to charge my tuition to my credit card unless I the undersigned notify them in writing. I understand my three costume deposits will be automatically charged to my account (Oct., Nov. & Dec.). Final costume payment is due Feb. 1st.

Registration Fee CHECK# (if paid in cash, write cash)

I have received a copy of the student member packet & policies, I understand I am responsible for the information provided in that document.

Credit Card#

Expiration Date Security Code

If billing address is different

To verify you are a human please enter the following below. captcha

Your Name

Your Email

FOR YOUR CONENIENCE, NOTIICES AND UPDATES WILL BE SENT HOME VIA EMAIL

Dancer's Name

Birth Date (mm/dd/yyyy)

2nd Dancer's Name

Birth Date (mm/dd/yyyy)

Guardian Name

Address

City

State

Zipcode

Phone#

Emergency Phone#

Injuries / Medical Conditions

PLEASE CHECK THE SESSIONS YOU WOULD LIKE TO ATTEND. TEAM – MUST ATTEND TWO WEEKS Session 1 (June 23-28)Session 2 (July 14-19)Session 3 (August 11-16)

PLEASE LIST CLASS WITH DAY & TIME (if on the competitive team, write team once)

Class #1

Class #2

Class #3

Class #4

How did you hear about us?

RELEASE OF LIABILITY AND PLEDGE By checking this box I do hereby release from all liability Back Stage Dance Center LLC and its staff for any and all injuries sustained during the course of dance or dance related study on the physical premise of Back Stage Dance Center, LLC, Killingworth, CT. There is a $30.00 charge for all returned checks. Tuition is non-refundable.

Payment Options (check one) I am new to the studio/have received a complimentary session.I would like to be billed.I would like my credit card billed automatically to receive a discount on tuition.

Registration Fee CHECK# (if paid in cash, write cash)

I have received a copy of the student member packet & policies, I understand I am responsible for the information provided in that document.

Credit Card#

Expiration Date Security Code

If billing address is different

To verify you are human please enter the following code below: captcha