Performer’s Name_________________________________


  • Yes, my child(ren) will perform in the recital________ (initial)
  • No, my child(ren) will not perform in the recital______ (initial)

If child(ren) will not perform in the recital, may we ask your reason for declining?     _______________________________________________________________

I am aware of my financial obligation to pay tuition and all applicable fees during the contractual period beginning September 2016 and ends with the June 25, 2017 performance. I have reviewed this information with the dancer/performer. All questions have been answered to my satisfaction. Please initial.

  •           I understand it is my responsibility to read all correspondence, respect all deadlines and to be aware of studio activities.. Email is our only method of communication.  Please make sure we have your correct email address and you are receiving all emails,
  •         I agree to rehearsal dates and offering some volunteer help,
  •         I understand I will not be allowed backstage without a Backstage    Pass,
  •         I commit to the MARY POPPINS BALLET rehearsal schedule and I agree to keep current on schedule changes. (Please note we attempt to maintain consistency but changes can and do occur).  We aim for 50% attendance for the Pre-Ballet & Pre-School Program Students.  All others must maintain an 80% attendance record to participate.
  •         I understand and agree that all costume & recital fees are non-refundable,
  •         I understand there is no obligation to purchase photos or videos,  
  •       I understand that my account must be current of all purchases and tuition payments,
  •       I understand that there are no costume availability guarantees for late costume orders (Orders after February 25, 2017)  

Costumes will not be ordered without this agreement AND payment.

MEASUREMENTS:  Girth: ______ Chest:_________ Waist_______ Hips:_______CLOTHING SIZE:______


PARENT/GUARDIAN SIGNATURE :   ___________________________________________________

email:  ___________________________________________                       Please print clearly


Cell phone number :_     ___________________

PAYMENT:  Please Mark   Rental $95______  Purchase $115 ______

Credit Card ______   Cash ______  Check _______