Enroll EnrollmentName of child care facitity *Programs you wish to enroll in *Funtastic FitnessDancing Stars BalletKids Dance PartyAll Star SportsHip Hop Cheer Rock (Select locations Only)Camp FitAll Star Cheerleading at FrontiersAll Star CheerleadingAll Star GymnasticsPrincess CampChilds Name *Childs Age *Childs Birthday Gender *FemalemaleParents Name's *Mailing Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryHome Phone *Cell Phone *Work Phone Email *Confirm Email *Health Disclosure *Children enrolled in the SNG Fitness and Dance Programs will participate in one class per week. Classes are 30 minutes in length and consist of a warm-up, age-appropriate aerobic, endurance,dance activities and cool down. Please describe above any injuries, health problems or limitations which might inhibit or limit your child’s participation.Photos *Occasionally photos or videos of various classes are used for local and national marketing purposes. If you DO NOT want your child’s picture taken, please check here. (Note: Names are not disclosed without specific permission.)I give permission for my child's picture to be takenI DO NOT give permission for my child's picture to be takenAgreement to Company Policies *• RETURNED CHECKS - There is a $30 fee on all returned checks (electronic and paper), as our bank charges us when a check does not clear for this reason. • FIFTH WEEKS - Tuition fees are based on four-week months, but to make up for holidays and keep tuition consistent each month we do meet on 5th weeks when they occur. We do not meet during the weeks of Thanksgiving, Christmas, New Year’s, and Spring Break. • ATTENDANCE - Monthly payments are required regardless of the child’s attendance. If you are planning for your child to be away from school, please notify our office in advance, and tuition will be prorated for your convenience. • WITHDRAWAL - To withdraw your child, you must call or e-mail our office. If you fail to notify us directly, billing will continue to accrue for which you will be responsible. Your child will not be taken off the roll until a parent contact has been made. Please DO NOT inform your bank to stop automatic payments as a way to withdraw your child from Stretch-n-Grow. When our system attempts to draft the payment, and funds are unavailable the bank charges us a $30 fee which is then applied to your account. We ask that you provide us with a 30 day notice if you plan to remove your child from Stretch-n-Grow. NOTE: CLASSES MEET YEAR-ROUND UNLESS OTHERWISE NOTIFIED. • MINIMUM ENROLLMENT - A minimum enrollment of five children is necessary for a class to be scheduled. Classes will be cancelled with notice if this should occur.I have read and agree to abide by the policies stated above. I understand that SNG classe is an voluntary enrichment program. I will not hold SNG responsible for accidents. AttireSNG T- Shirt(15.00) *NoneXS (2-4)SM ( 6-8)M ( 10-12)L ( 14-16) PaymentFuntastic Fitness $15.00 Registration fee$35.00/moKids Dance Party $15.00 Registration Fee$45.00 /MoPrincess Dance Camp Summer 2018 $15.00 Registration FeeFull Summer $116.00Monthly Billing June 58.00, July 58.00Princess Camp T-shirt $16.00All Star cheerleading $ 15.00 Registration fee$45.00 monthly$45.00 Uniform & pom pom'sSize 2-4Size 4-6Size 7-8Size 10-12Size 12-14All Star Gymnastics $15.00 Registration fee$45.00/ month$45.00 Attire: Leotard & BagPrincess Camp Christ Covenant July 9th-13th $15.00 Registration FeeFull Week Camp 95.00Princess Camp T-shirt $16.00Yoga $15.00 Registration fee$50.00/ moCamp Fit Ages 6-12 $15.00 Registration fee$35.00/ moAll Star Cheerleading at Frontiers All Star Cheer Held at select Frontiers locations.Registration $15.00 & $45.00 Monthly draft$45.00 Cheer Uniform & pomsT-shirt size 2-4T-shirt size 4-6T-shirt size 7-8T-shirt size 9-10T-shirt size 11-12T-shirt size 12-14Dancing Stars Ballet $15.00 Registration fee$45.00/ mo$45.00 Ballet Attire: Leotard, tights, Ballet shoes, & Bagsize 2-4 (leotard & Tights)size 4-6 (leotard & Tights)size 7-8 (leotard & Tights)Hip Hop Cheer Rock (summer only) $15.00 Registration fee$45.00/ mo$90.00 entire summer June & July$45.00 uniform feeSize 2-4Size 4-6Size 7-8Size 9-10Size 12-14Payment Options *Automatic payments are processed on the 1st of the month.Automatic recurring payment via Credit CardMail Monthly payments ( Credit Card on File Required)Online Monthly Invoice ( $5.00 fee applied to every transaction)Pay full Year Tuition ( Aug-July) Will be prorated if after aug.Pay Semester Will be prorated if after aug.Credit Card Number *Expiration Date *Security code Payment terms *CREDIT CARDS ACCEPTED- Visa, Mastercard, Discover, American Express. MAILED PAYMENTS- Mail payments to 11 Brandy Ct, Brandon, MS 39047 each month. Payments are due on the 1st day of each month. No payments should be left at the childcare center!! AUTHORIZATION- I hereby authorize Stretch-n-Grow to charge my account as indicated above in consideration for professional services rendered (i.e. fitness/dance classes). I understand that automatic payments will be drafted on the first day of each month. Credit card payments will be charged in full immediately for the first month with subsequent payments on the first day of each month. Credit card payments will be prorated during the second month if necessary. I understand that a 30 day written notice (via hand-written letter or email) is required to cancel monthly recurring payments.By checking this box I acknowledge that I have read and agree to the above payment terms.Coupon Code Text VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: