"STUDIO DANCE SUMMER REGISTRATION FORM '17

DANCE CAMPMEETS 2X A WEEK, MONTHS JUNE and JULY.

PLEASE FILL OUT AND RETURN WITH PAYMENT TO BE REGISTERED!!!

(MAILING ADDRESS: 3907 CENTER POINT RD.NE 52402)

STUDENT'S NAME ______

ADDRESS: ______CITY:______ZIP:______STATE: IA

AGE ______HOME PHONE#:______CELL PHONE#______

PARENT'S NAME (IF DIFFERENT):______

IN CASE OF AN EMERGENCY PERSON TO CONTACT OTHER THAN PARENT:

NAME:______PHONE:______

PREVIOUS DANCEEXPERIENCE:_____YEARS WHERE:______

INTRO DANCE CLASS______4WEEKSESSION (45 MIN) $80.00 ______

(AGES 3-4.5)

JAZZ CLASSTIME ______4 WEEK SESSION (30MIN) $64.00 ______

(AGES 5-7.5)

FUNKY JAZZ TIME ______4 WEEK SESSION (30MIN) $64.00 ______

(AGES 8-11)

LYRICAL TIME ______4 WEEK SESSION (30MIN) $64.00 ______

(AGES8-11)

NEW POM PON CLASS ______4 WEEK SESSION (30 MIN) $64.00 ______

(AGES 5-7)

CLASS SIZE IS LIMITED, SCHEDULE MAY CHANGE TO ADD MORE CLASSES IF NEEDED. MINIMUM OF 6 STUDENTS PER CLASS, MAXIMUM 12-14.

SUB TOTAL $______

MULTI-STUDENTS(2+) 10% DISCOUNT ______

(SAME FAMILY)

SUB TOTAL $______

*** TAX 7%

TOTAL $______

PLEASE PAY FOR CLASSES TODAY

PAYMENT TO STUDIO DANCE

TUITION NON-TRANSFERABLE OR REFUNDABLE

THANK YOU FOR YOUR INTEREST IN STUDIO DANCE

STUDIO DANCE SUMMER SCHEDULE “17

MONDAY & WEDNESDAY EVENINGS ONLY!

5:30-6:15 INTRO DANCE (AGES 3-4.5)

5:30-6:00 POM PON (AGES 5 – 7)

6:15-6:45 JAZZ CLASS (AGES 5-7.5)

6:45-7:15 FUNKY JAZZ (AGES 8 – 11)

7:15-7:45 LYRICAL CLASS (AGES 8 – 11)

(MINIMUM OF 6 STUDENTS PER CLASS)

(CLASSTIMES ARE SUBJECT TO CHANGE IF NEED

TO ADD MORE CLASSES)

STUDIO DANCE SUMMER REGISTRATION FORM ‘17

DANCE CAMPSUMMER CLASSES MEET 2X A WEEK, MON & WED EVENINGS FOR 4 WEEKS

STARTING JUNE 12th THROUGHJULY12th!!

NO CLASSES WILL BE HELD JULY 2nd- 8TH

GREAT CHANCE TO TRY OUT NEW CLASSES AND THE STUDIO. GREAT FOR BEGINNERS THAT WANT TO TRY THE WONDERFUL WORLD OF DANCE. NO SPECIAL SHOES, OR DRESS CODE, OR THE COST OF COSTUMES AND RECITAL REQUIRED. DURING THE SUMMER I ALLOW THE STUDENTS TO WEAR SHORTS AND T-SHIRTS IF THEY WISH, DANCE CLOTHES ARE ALWAYS ENCOURAGED.

CLASSES MEET 2X A WEEK THROUGH JUNE & JULY

CLASSES ARE HELD ON MONDAY & WEDNESDAY EVENINGS.

INTRO DANCE CLASS ______JAZZ CLASS ______FUNKY JAZZ______

LYRICAL ______NEW POM PON ______

IF REGISTRATION BY MAIL: FILL IN CLASS TIMES FOR YOUR CLASS(ES)PLEASE HOLD ON TO THIS FORM TO REMIND YOU OF THE TIMES. THE STUDIO ASSUMES NO RESPONSIBILITY FOR THE STUDENT IF THE STUDENT LEAVES THE DANCE STUDIO PREMISES FOR ANY REASON.PLEASE BE PROMPT ON PICKING YOUR CHILD UP AFTER THEIR LAST CLASS.

ALL FEES ARE DUE AT THE TIME OF REGISTRATION. PLEASE MAIL OR DROP OFF PRIOR TO CLASSES STARTING IN JUNE. ANY QUESTIONS FEEL FREE TO CALL

393-0303 OR 377-2244 THANKS, MICHELE