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Home
About
Photos
Calendar
Info
Schedule & Descriptions
Class Registration
School Policies
Shoes & Uniform
Summer Camp
Contact
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YOUR CART
2020/2021 Class Registration
*
Indicates required field
Parent/Guardian Name
*
First
Last
Parent/Guardian Name
*
First
Last
Email
*
Secondary Email
*
Phone Number
*
Address
*
There is a $20 registration fee ($40 family registration fee) that is due at the beginning of each school year. You will receive an emailed invoice after submitting this form.
Tuition rates are listed on our school policies page:
http://www.heartlandirishdancers.com/school-policies.html
There are four options for tuition payment for our
Belton and Harrisonville
locations:
Monthly (8 payments due the 15th of each month August- November and January-April)
Quarterly (4 payments due the beginning of each quarter Aug 10, Oct 11, Jan 10 & Mar 22)
Semesterly (2 payments due the beginning of each semester Aug 10 & Jan 10)
Yearly (1 payment due Aug 10)
Our
Grandview
location requires 10 monthly payments through their invoicing system set up at the front desk of The View (tuition rate is adjusted)
Our
QHR-
Wea
location will have 10 monthly payments through the HID invoicing system. More info on tuition rates for after school dance clubs will be emailed to these families.
Please select your tuition billing option(s)
*
8 Monthly Payments (Belton or Harrisonville)
4 Quarterly Payments (Belton or Harrisonville)
2 Semesterly Payments (Belton or Harrisonville)
1 Yearly Payment (Belton or Harrisonville)
10 Monthly Payments (Wea or Grandview
Student Info
Student #1 Name
*
First
Last
Student #1 Birth Date
*
Student #1 Class Name
*
Choose 1
Pre Beginner
Beginner
Intermediate
Novice
Advanced
Ceili and Performance Prep
Adult Dance and Fitness
Irish Dance Club (Wea students and parishioners)
Advanced Drills and Conditioning
Student #1 Class Location
*
Choose 1
Belton, MO
Bucyrus, KS
Grandview, MO
Harrisonville, MO
Zoom
Student #1 Class Name (if taking more than one class)
*
Choose 1
Pre Beginner
Beginner
Intermediate
Novice
Advanced
Ceili and Performance Prep
Adult Dance and Fitness
Irish Dance Club (Wea students and parishioners)
Advanced drills and Conditioning
Student #1 Class Location Second Class
*
Choose 1
Belton, MO
Bucyrus, KS
Grandview, MO
Harrisonville, MO
zoom
Student #2 Name
*
First
Last
Student #2 Birth Date
*
Student #2 Class Name
*
Choose 1
Pre Beginner
Beginner
Intermediate
Novice
Advanced
Ceili and Performance Prep
Adult Dance and Fitness
Irish Dance Club (Wea students and Parishioners)
Drills and Conditioning
Student #2 Class Location
*
Choose 1
Belton, MO
Bucyrus, KS
Grandview, MO
Harrisonville, MO
zoom
Student #2 Class Name (if taking more than one class)
*
Choose 1
Pre Beginner
Beginner
Intermediate
Novice
Advanced
Ceili and Performance Prep
Irish Dance Club (Wea Students and Parishioners)
Drills and Conditioning
Student #2 Class Location of Second Class
*
Choose 1
Belton, MO
Bucyrus, KS
Grandview, MO
Harrisonville, MO
zoom
Student #3 Name
*
First
Last
Student #3 Birth Date
*
Student #3 Class Name
*
Choose 1
Pre Beginner
Beginner
Intermediate
Novice
Advanced
Ceili and Performance Prep
Adult Dance and Fitness
Dance Club (Wea students and parishioners)
Drills and Conditioning
Student #3 Class Location
*
Choose 1
Belton, MO
Bucyrus, KS
Grandview, MO
Harrisonville, MO
zoom
Student #3 Class Name (if taking more than one class)
*
Choose 1
Pre Beginner
Beginner
Intermediate
Novice
Advanced
Ceili and Performance Prep
Adult Dance and Fitness
Dance Club (Wea students and parishioners)
Drills and Conditioning
Student #3 Class Location of Second Class
*
Choose 1
Belton, MO
Bucyrus, KS
Grandview, MO
Harrisonville, MO
zoom
Medical and Emergency Info
Please list any allergies/medical conditions that we should be aware of for each dancer... this will be kept confidential.
*
Emergency Contact Name (if parents can't be reached)
*
First
Last
Emergency Contact Phone Number
*
Family Liability Agreement
Click here
to review the HID school rules and tuition policies
Heartland Irish Dancers recognizes its obligation to make sure our students and their parents (if student is a minor) are aware of the risks and hazards involved in the sport of dance.
By initialing below, I acknowledge that Irish dancing is a voluntary recreational activity that, because of its physical nature, could result in injury. I certify that I do not have (or that my child/student does not have) any health condition that would limit ability to participate in these classes. I release Heartland Irish dancers and all its representatives from all claims on account of any injury which may be sustained by me (or my child/student) while attending any dance class, or event associated with HID. In signing this agreement and waiver, I acknowledge my responsibility in paying for tuition, required shoes and costumes, if any, and all costs involved in participating in this class. Additionally, my initials below certifies that I have read and agree to the school rules and the tuition, shoes and uniform policies listed in the above links.
Initials
*
Family Photo Release
By initialing below, I understand that as a member of Heartland Irish Dancers, any pictures, videos, or other recorded media of me/my child(ren) may be used by HID for the promotion of HID activities and sponsored events.
Initials
*
Online Class Agreement
By initialing below, I acknowledge that when participating in an online dance class or private lesson via Zoom or similar platforms, a parent or guardian is required to be present to maintain the safety of your dancer when the instructor is teaching remotely. The HID instructor may choose to record the session to share with absent students or those in attendance to review at a later date.
Initials
*
Submit