THE MAINE DANCE ACADEMY
2017-18 Dance/Tumbling Registration
TO BE USED FOR All STUDENTS REGISTERING AT  TMDA for 2017-18
Dancer Name:
Address: (street/City/zipcode)
Home Phone (use hyphens)
Work/Cell Phone
Date of Birth:
Age:
Grade entering 2017 school year:
I am registering for Dance, Tumbling or both, please be
specific.  If registering for multiple classes you may deduct
$5 off  each registration fee.
Parent's Name:
Email Address: (very important)
Did you take Dance, Tumbling or
Pointe last year, 2016-17?
Yes
No
If "Yes", which class/classes?
Would you like to take Pointe this year?
Yes
No
Note:  All pointe dancers are required to purchase 2 pairs of pointe shoes for the year, one for
studio practice and one set to stay clean for recital performances.  It is a $40 reg fee for Pointe.
Shoe Size:
Shirt Size:
Pant Size:
C-M
C-S
C-L
Dance T- Shirt Size: (check one)
A-S
A-M
A-L
A-XL
WARNING OF RISK TO PARTICIPANT
The Maine Dance Academy (TMDA) is not responsible for providing medical accidental injury
insurance on students.  Parents/guardians are required to provide adequate accidental and medical
insurance for their child enrolled in TMDA.  My child and I are aware that participation in all TMDA
dance classes is potentially hazardous and may involve risk of injury. TMDA, Colleen DuPlissie, the
teachers, the assistants, the secretaries and the owner of the property at 15 Sweden Street, Caribou,
ME  shall not be held responsible for treatment, injury or losses related to TMDA.  Neither Colleen
DuPlissie, nor any teacher, nor the studio, nor the owners of said property are liable for the loss or
damage to personal property. As a parent, guardian, and/or participant, I am aware of the hazards and
my ability or my child’s ability to participate. Each student may decline to participate in any activity but
only with written permission of a parent or guardian.  Please inform the teachers of any physical
limitations or conditions. I hereby, for myself, my heirs, executors and administrative waive and
release all rights and claims against The Maine Dance Academy, it’s employees, volunteers and
owners from all losses, injury, damages, fees and other expenses arising out of, or in connection with
all our participation at The Maine Dance Academy.  I have also read the entire rules and regulations
posted on TMDA’s website and will adhere to them accordingly.  You indicate your agreement by
entering your name below.  All losses suffered while dancing at TMDA are the sole responsibility of
the client entering his/her name below and you wil not hold TMDA liable for anything.
Type Parent Name
AND MUST DATE IT!
I am also aware that at various points during the dance year, TMDA will be sharing pictures of their dancers on their website .I
recognize that TMDA may post pictures (not names) of myself and/or my child on their website. I hereby consent for myself
and/or my children to have their pictures put on the website at www.themainedanceacademy.com.
Type Parent Name
AND MUST DATE IT!
BEFORE, you press register, take a quick minute to review everything you have entered into the form
above.  Please be sure it is accurate, names spelled appropriately, and all info is complete!
REMINDER:  Please send your registration fee to 56 Hazel Woods Rd,  Woodbury, CT  06798 Thank you!
If you are a new DANCE student over the age of 5, you must fill out this registration form and mail in your check to the address below and you must also attend auditions at the  studio on
Wednesday, August 23 2017. If you are a returning TMDA student, simply fill out this form, press submit and then send in your registration fee to the address below.   Completing this form is
easy, just enter your dancer's information in the spaces provided.  When you are finished, click the submit button at the bottom. Yo will receive a confirmation notice from Miss Colleen stating
she has received your registration through e-mail. At this time we are unable for you to pay the registration fee through the website, so you are still required to send in your registration fees  
to 66 Garden Circle, Caribou, ME  04736.  Registering and paying your registration fee before
8-23-2017 will  ensure your spot with TMDA!  Registrations fees RECEIVED after 8-23-2017 are
all
$60.00 with no exceptions and no guarantee of a spot at TMDA!!  Dancers auditioning after the 8-23-2017 registration date will have to have a private audition and the fee is $70.00.  See
the yellow box below for times of auditions on
August 23rd.  TUMBLERS DO NOT NEED TO AUDITION.  (All members of TMDA are required to wear TMDA logo wear to all classes.)  Fall
Tuitioin fees can be found under the TMDA News tab. We cannot wait to see you all in September.  Fall classes begin the week of
September 12,2017.  The class roster will be posted on
9/1/2017.
The Maine Dance Academy Registration and Audition
Schedule for new dancers only is on Wednesday, August
19, 2015.

4-5pm: 2-4 year olds, registration only
5-6pm:  5-8 year olds, registration and auditions are required.
6-6:30pm:  9-12 year olds, registration and auditions required
6:30-7pm:  13 and up, registration and auditions required

Only new DANCE students 5 and older are required to audition.  
Returning students do not need to audition.  
Tumblers DO NOT NEED TO AUDITION.

Registration Fee for Returning TMDA students is
$40.00

Registration Fee for New Students is $45.00

Registration Fee for Pointe:  $40.00
Registration Fee for Gymnastics $40.00
Multiple registration Fees:  Deduct $5.00 from each fee.
The Maine Dance Academy Registration and Audition
Schedule for new dancers only is on Wednesday, August
19, 2015.

4-5pm: 2-4 year olds, registration only
5-6pm:  5-8 year olds, registration and auditions are required.
6-6:30pm:  9-12 year olds, registration and auditions required
6:30-7pm:  13 and up, registration and auditions required

Only new DANCE students 5 and older are required to audition.  
Returning students do not need to audition.  
Tumblers DO NOT NEED TO AUDITION.

**Registration Fee for Returning TMDA students is
$40.00
**Registration Fee for New Students is $45.00

Registration Fee for Pointe:  $40.00
Registration Fee for Gymnastics $40.00
Multiple registration Fees:  Deduct $5.00 from each fee.
The Maine Dance Academy Registration and Audition
Schedule is on
Wednesday, August 23,2017.
4-5pm:  2-4 year olds
5-5:30pm:  5-8 year olds
5:30-6pm:  9-12 year olds
6-6:30pm: 13+

Only new DANCE students 5 and older are required to audition.
The fee for auditioning students is $50.00
Returning  dance students do not need to audition. ( $45.00)
Tumblers DO NOT NEED TO AUDITION.

**Registration Fee for Returning Dance and Tumbling TMDA
students is $45.00
**Registration Fee for ALL New Dance and Tumbling Students
is $45.00
** Registration Fee for Pointe:  $45.00
Registration Fee for Auditioning Dance Students:  $50.00


All registrations are due on or before
August 23, 2017. All
late registrations will be $60.00. Late Auditions will be
$70.00.   The late fee will be added to your fall tuition bill.


If a child takes more than one class, then he/she can deduct
$5.00 per class registering for.

Seniors will audition at 6:45pm for Senior Cast Parts.  Music
for auditions will be sent out by August 1, 2017.