Register & Pay Month to Month

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Jubilee Performing Arts

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Registration Form
By filling out this form, you are choosing to pay month by month. Please fill out the form based on
total amount of hours for your entire family.

Parent's First Name:

Parent's Last Name

Phone Number

Address

Best Way to be Reached

Text

Phone Call

List All Students Enrolling Here:

List All Student(s) Birthdays Here

List All Classes with Days and Times Your Student(s) Will be Taking Here

Emergency Contact

Emergency Contact's Phone Number

Allergies or Special Concerns

I acknowledge and consent to allow Jubilee Performing Arts to use: photos and/or videos of my child/myself in publications (such as flyers/brochures), advertisements (such as newspapers or online ads), our studio's website, or on social media sites (such as the studio's facebook or instagram account).

Select an item ($)

45 Mins-1 Hour - $65.00

1 hour 30 mins - $90.00

2 Hours - $115.00

2 Hours and 30 mins - $140.00

3 Hours - $165.00

3 Hours and 30 mins - $190.00

4 Hours - $215.00

4 Hours and 30 mins - $240.00

5 Hours - $265.00

5 Hours and 30 mins - $290.00

6 Hours - $315.00

6 Hours and 30 mins - $340.00

7 Hours - $365.00

7 Hours and 30 mins - $370.00

8 Hours - $415.00

8 Hours and 30 mins - $440.00

9 Hours - $465.00

9 Hours and 30 mins - $490.00

10 Hours - $515.00

10 Hours and 30 mins - $540.00

By checking this box I am agreeing to pay per student the $20 registraton/building use fee at Open House or the first day of class.

Monthly Tuition is due by the 5th of evey month, otherwise a late fee will be added. By checking this box you are acknowledging that payment is due by the 5th of every month.

I agree to the policies and procedures of Jubilee Performing Arts.

Thank you for submitting your registration!

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Your Email Address

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Jubilee Studio

Shepherd Gate Church

4310 Pleasant Valley Rd

Chantilly, VA 20151

email us at:

info@jubileeperformingarts.org

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Jubilee Performing Arts

Registration Form By filling out this form, you are choosing to pay month by month. Please fill out the form based on total amount of hours for your entire family.

Registration Form
By filling out this form, you are choosing to pay month by month. Please fill out the form based on
total amount of hours for your entire family.