Credit Card Authorization Form

Please fill out the form below, or if you prefer, you can print it out and bring it with you.

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I understand that tuition charges will be automatically made to my credit card while my child is enrolled in dance class at MMSD. The automatic tuition charges will be for two-months of tuition, will occur while my child/children is/are enrolled in dance class at MMSD, and will be processed on the following dates: September 8, 2020; November 1, 2020; January 1, 2021; March 1, 2021 and May 1, 2021. If I choose to pay tuition by cash or check, then I will make the payment prior to the dates noted above. In addition to tuition, I authorize MMSD to charge any other outstanding balance due on my account, including any purchases of dance shoes, dance attire, dance costumes and recital tickets, to my credit card. Proof of payment will appear on my account and I will receive an e-mail notification any time a payment is processed. The authority I give to automatically charge my payment information on-file will remain in effect until I unenroll my child from dance classes at MMSD. If for whatever reason, payments cannot be processed to my credit card information on-file, I will receive an email notifying me of this and requesting that I contact MMSD with updated credit card information. I will make every effort to timely notify MMSD any time my payment information on file changes.

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Any Questions?

If you have questions please email or call:
info@missmariadance.com | 617-744-6095

Miss Maria’s
School of Dance

550 Arsenal Street
Watertown, MA 02472
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