Payment Arrangement Form

Please list your dancer's first and last name.

First Name

Last Name

Tuition payments are due on the 1st and "other fee" payments are due on the 15th of the month. Please list out the dates and amounts of the arrangement.

Please be sure to list specific dates and amounts so we are able to keep records accurate.

How will you make the payment?

Agreement

By checking this box, I understand that I am making a payment arragement with Volume Dance LLC.

By checking this box, I understand if I do not make the payment on the dates listed above, the $50 late fee will be added to my account.

By checking this box, I understand that if my financial situation changes, I will let the office know at least 5 days in advance.