Fall 2022
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 18 mos - 2
COMBINATION ___________ (Tap and Ballet) AGES 3 - 4
COMBINATION ___________ (Tap and Ballet) AGES 5 - 6
COMBINATION ___________ (Tap and Ballet) AGES 7 and up
JAZZ________ HIP HOP________ TECHNIQUE________ DRILL TEAM________
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 the Policies and Waiver form! |