Fall 2021
DANCE MACHINES DANCE STUDIO, INC.

*** REGISTRATION FEE - $60.00 PER STUDENT ***

 

DATE________ STUDENTS NAME_________________________________________

AGE_________  DATE OF BIRTH_____________  SCHOOL GRADE______________

PARENTS NAME_______________________________________ DL #_____________

ADDRESS_________________________________ CITY____________ ZIP________

CELL PHONE __________________________________________________________

EMAIL_________________________________________________________________

EMERGENCY CONTACT NAME __________________________________________

EMERGENCY NUMBER _________________________________________________

CLASS REGISTRATION

COMBINATION ___________ (Tap and Ballet) AGES 2-7   

JAZZ___________ TAP___________  BALLET___________  LYRICAL___________

HIP HOP___________  CHEER___________  DRILL TEAM ___________

STRENGTH/CONDITIONING___________  

MONTHLY TUITION

*****$15 LATE FEE APPLIES AFTER THE 10TH OF THE MONTH*****

1ST CLASS (PER CHILD)..............................................................$70.00                

ADDITIONAL CLASS (PER CHILD)...........................................$40.00

 

Please sign/initial the Policies and Waiver form!