FALL 2018
DANCE MACHINES DANCE STUDIO, INC.

*** REGISTRATION FEE - $50.00 PER STUDENT ***
 

DATE________ STUDENTS NAME_________________________________________

AGE_________  DATE OF BIRTH_____________  SCHOOL GRADE______________

PARENTS NAME_______________________________________ DL #____________

ADDRESS_________________________________ CITY____________ ZIP________

HOME PHONE ______________________ CELL PHONE ______________________

EMAIL_______________________________________________________________

EMERGENCY NAME & #_________________________________________________

CLASS REGISTRATION

COMBINATION ________ (tap and ballet or jazz) AGES 2-7      JAZZ________   TAP________

BALLET/POINTE________    HIP HOP_________   CHEER/GYMNASTICS_______

STRENGTH/CONDITIONING_______  

MONTHLY TUITION

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

1ST CLASS (PER CHILD).....$60.00                 ADDITIONAL CLASS.....$40.00

 

Please sign/initial the Policies and Waiver form!