Name Of Student I *

First Name

Last Name

Birthdate *

MM

DD

YYYY

Name of Student II

First Name

Last Name

Birthdate

MM

DD

YYYY

Name of Student III

First Name

Last Name

Birthdate

MM

DD

YYYY

Name of Student IV

First Name

Last Name

Birthdate

MM

DD

YYYY

Recreational Dance Classes

All Ages (min of 4 students needed/class)

Term I (Sept-Dec) Lil Hopperz - Tues 5:00-5:30pm ($180 = $12/class)

Term I (Sept - Dec) Twinkle Toes - Tues 5:30-6:00pm ($88)

Term I (Sept - Dec) Ballet - Tues 6:00-6:30pm ($180 = $12/class)

Term I (Sept - Dec) Acro - Tues 6:30-7:00pm ($180 = $12/class)

Term I (Sept - Dec) Musical Theatre & Hip Hop - Tues 7:00-7:40pm ($210 = $14/class)

Term II (Jan - Dec) Lil Hopperz - Tues 5:00-5:30pm ($216 = $12/class)

Term II (Jan - May) Twinkle Toes - Tues 5:30-6:00pm ($216 = $12/class)

Term II (Jan-May) Ballet - Tues 6:00-6:30pm ($216 = $12/class)

Term II (Jan-May) Acro - Tues 6:30-7:00pm ($216 = $12/class)

Term II (Jan-May) Musical Theatre & Hip Hop - Tues 7:00-7:40.pm ($252 = $14/class)

Competitive Dance Classes

3+ Experience Required, 10+ years of age (Sept - May)

Acro: Wed - 5:30-6:10pm ($560 = $16/class)

Hip Hop/Breakdancing: Wed - 6:10-6:40pm ($540 = $15.43/class)

Musical Theatre: Wed - 6:40-7:10pm ($540 = $15.43/class)

Jazz: Wed - 7:10-7:40pm ($540 = $15.43/class)

Ballet/Lyrical Jr. (Ages 10-13) Tues & Wed 7:40-8:25pm ($700 = $10/class)

Teen Ballet/Lyrical: Tues & Wed - 8:25-9:10pm ($700 = $10/class)

Pointe: Tues & Wed - 9:10-9:30pm ($350 = $5/class)

Name of Parent/Guardian *

First Name

Last Name

Phone # *

(###)

###

####

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Signature *

Agrees to Terms & Conditions