Summer Online Registration Summer Registation Step 1 of 3 - Account Information 33% Parent/Guardian Name* First Last Dancer's Name* First Last Email PhoneAccount Information*I already have an AAD account!I have an account, but have new contact informationI am new to AAD and need to set up an account.Dancer's Birthdate Address Street Address City State Zip 2018 Summer in Motion Tshirt*Yes! I'd love a Summer shirt for $13.00!No, thanks!Please choose a tshirt size:*Size Selection:4TSmall ChildMedium ChildLarge ChildSmall AdultMedium AdultLarge AdultXLarge Adult Please Choose an Age Group:* Dance Camps: Age 2-10 Dance Intensives: Ages 8-advanced Dance Camps for the Young Dancer:Please choose the Camps/Classes you'd like to register for. 3 Day: Dance Camps 1 Day: Mini Camps 3 Day: Dance Camps3 Day: Dance Camps (Ages 3-7)* June 25-27: Twinkle Twos (ages 2-3) 5:00-5:30pm June 25-27: TuTu Cute! (ages 3-5) 5:30-6:00pm June 25-27: Hip Hop Heroes (age 5-7) 6-6:45pm July 16-18: Twinkle Twos (ages 2-3) 5:30-6:00pm July 16-18: B is for Ballerina (ages 3-4) 5:00-5:30pm July 16-18: Itty Bitty Irish (ages 5-7) 5:15-6:00pm 1 Day: Mini Camps1 Day: Mini Camps (ages 6-10)* June 21: Back to the Water (ages 3-6) 12:30-2:00pm June 21: Go Ninja Go (ages 7-10) 9:30-11:30am July 30: Fairy Tale Fun (ages 3-6) 9:30-11:00am July 30: Wonderland (ages 3-6pm) 12:30-2:30pm Dance Intensives (ages 8 & up)Dance Intensives (ages 8 & up) Summer Sampler: June 19- July 31 Dance Intensive: June 19 - July 31 Pointe Priming Dance-a-TON: June 21 & July 30 Irish Intensity: June 13-July 25 Master Class with Chris Wendorff: August 20 Dance-a-TON Friend I am an AAD dancer who will be bringing a friend! I am the friend of an AAD dancer! It's just me! My friend's name is:My Dancer is aGirl.Boy.Production: Aug. 21-22 Production ProductionTotal $0.00 Coupon CodeProduction Dancers use the coupon code IWANTCANDY at check-out to receive $20 off your Master Class registration. Dancer must be registered for BOTH Production and the Master Class to receive discount.Coupon CodeUse this coupon code: ILOVEDANCE to receive 50% off of your Dance-a-TON registration! Payment InformationHow would you like to make a payment?*Select Payment OptionPayPal ($5.00 Conv. Charge)Checking Account ($1.00 Conv. Charge)Convenience Fee Price: $5.00 Convenience Fee Price: $1.00 Total $0.00 Coupon Code Click submit below and you will be re-directed to PayPal to complete your payment.Bank Account Payment - EFT* Routing Number (9 Digits) Account Number Name of Banking Institution I hereby authorize you to debit my account as identified above. This authorization shall remain in effect until the terms stated have been met or until Amanda’s Academy of Dance has received written notification from me of intent to terminate at such time and in such manner as to afford Amanda’s Academy of Dance and bank reasonable opportunity to act (minimum of 30 days). All other changes such as payment amount, frequency, bank account number change, will require a new Payment Authorization Form to be filled out and submitted to Amanda’s Academy of Dance 5 days prior to any change being implemented. I understand that this payment plan may be cancelled by Amanda’s Academy of Dance due to uncollectible funds. I will be liable to pay a fee for each returned check. I understand that if my electronic debit is returned to you for insufficient or “held” funds, it will be re-presented electronically and my account will be debited for the amount of the payment plus the state-allowed fee. I represent and warrant that I am authorized to execute this payment authorization for the purpose of implementing this payment plan. I indemnify and hold Amanda’s Academy of Dance the check processor, and the bank harmless from damage, loss, or claim resulting from all authorized actions hereunder. *By submitting registration, I agree to the following: I have read and understand the policies of Amanda’s Academy of Dance (tuition, late fees, etc.) I understand that participation in a dance program involves risk and possible injury. I authorize Amanda’s Academy of Dance to secure any emergency medical treatment that may be needed in case of an accident. I agree to indemnify Amanda’s Academy of Dance and its staff from any and all claims to personal injury sustained while participating in this program or traveling to or from its facility and events. I also give permission for AAD to take photos of me or my child to use for the website and for purposes of promoting the academy. Amanda’s Academy of Dance reserves the right to cancel classes if enrollment falls below expected number of enrollments.