SUMMERDANCE

SUMMERDANCE2020

Members$80 $70 Non-members$99 $89

CONTACT: ELIZABETH JONESEJONES@WEYMOUTHCLUB.COM | 781.682.5831

EARLY BIRD SPECIAL!register by April 15th to receive $10 OFF

JULY 14th - AUGUST 20th

per class

per class

R E G I S T R A T I O Nsummer dance

SESSION TUITION FEES: MEMBERS $80.00, NON-MEMBERS $99.00TUITION FEES ARE DUE BY THE FIRST CLASS OF EACH SESSION

TUITION FEES ARE FOR THE ENTIRE SESSION AND DO NOT VARY FOR ABSENCES OR CANCELLATIONSSESSION CLASSES MEET ONCE A WEEK FOR 6 WEEKS (6 CLASSES TOTAL)

**CLASSES WILL RUN BASED ON ADEQUATE ENROLLMENT**

FOR MORE INFO, CONTACT: ELIZABETH JONESejones@weymouthclub.com | 781.682.5831

* sibling discounts available *

Student Name: ____________________________________ D.O.B. ___________ Age _____

Parent/Guardian’s Names: ______________________________________________________________

Address: ______________________________________ City ______________ State ____ Zip ________

Home Phone: ________________ Cell Phone #1 _________________ Cell Phone #2 _____________

E-mail(s): _______________________________________________________________________________

Emergency Contact & Phone: ___________________________________________________________

Allergies: _______________________________________________________________________________

Member:______ Non-Member:______ Returning Dancer:______ New Dancer:_____

Class Choices: ___________________________________________________________________________

2020

SIGNATURE: ______________________________________________________  DATE: _________________

STUDENT(S) NAME: ________________________________________________________________________

WEYMOUTH CLUB PROGRAM WAIVER

I hereby represent to Weymouth Club, its affiliated, shareholders, partners, officers, agents, servants, employees, and representatives (collectively

Weymouth Club) that I am in good physical condition and am able to safely participate in Weymouth Club programming. I acknowledge that Weymouth

Club urges every participant to have a medical  check-up before participating in any Weymouth Club programs.  I appreciate the danger of physical

stress, strain, or injury and assume whatever risk is involved as a result of my use of the facilities, equipment, or services of the Weymouth Club.

 I hereby release and hold Weymouth Club harmless from and against any and all claims, liability, loss, damage, or injury sustained or incurred in

connection with my use of the facilities, equipment, or services of the Weymouth Club, and waive any and all claims against Weymouth Club from any

damage or liability resulting from or in the connection with such use, excepting such   damage which may be caused by Weymouth Club negligence.

 I hereby grant Weymouth Club consent and permission to use my name, portrait, image, statements and  comments and to copyright, use and publish

the same in whole or in part, in any media for purposes relating to the business and activities of the Weymouth Club, including trade or advertising.

 I hereby release and discharge Weymouth Club from any claims or demands arising out of or in connection with such uses, including but not limited to

any and all claims for libel or invasion of privacy.

 I understand and agree that the program is not a therapy program, nor should it substitute for medical treatment.

 This release, waiver and consent shall be binding upon me and my heirs, legal representatives and assigns.

Cash              Check              COF              Club Bucks              WC/GC

CC #: ___________________________________________________  EXP: __________CVV #: ___________

$25 fee for returned checks

Please fill out ALL information below, even if you have previously participated with Dance with Energy

DISCOVERY dancepink tights

solid color leotardpink ballet shoes

optional: skirt/tutu

Ballet & tap (ages 3-5) pink tights

solid color leotardpink ballet shoesblack tap shoes

optional: skirt/tutu

Ballet & tap (ages 5-7)pink tights

black leotardpink ballet shoesblack tap shoes

optional: skirt/tutu

intro to acrosolid color leotard

optional: acro shortsoptional: footless tights

FOR MORE INFO, CONTACT: ELIZABETH JONESejones@weymouthclub.com | 781.682.5831

* sibling discounts available *

musical theatersolid color leotard or tank topblack jazz pants or capri pants

black jazz shoes or dance sneakersoptional: tights

hip hop (girls) solid color leotard or tank top

black jazz pants or shortsblack jazz sneakers or jazz shoes

optional: tights

hip hop (boys)solid color t-shirt

any color track/gym pants or jazz pantsblack jazz sneakers or regular sneakers

jazz & tapblack leotard

pink or tan tightstan jazz shoes

black tap shoesoptional: black shorts or capri pants

D R E S S C O D Esummer dance2020