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Registration Fall 2011 - 2012
Student's Full name
Student's birthdate
Mother's full name
Father's full name
Mailing address
Home Phone
Cell Phone
Cell phone #2
email address:
Classes I'm signing up for:
Tiny Tots Monday
Pre Ballet
Jr Jazz and Hip Hop
Ballet ( 9-12 yrs)
Ballet V - Pre Pointe
Jazz Intermediate
Competition Team
Martial Arts Kids ( 5-8 yrs)
Martial Arts Kids ( 9 -12 yrs)
Martial Arts Adults
Cardio Mix, Pilates and/ or Dancercise
COLOMA elementary Tiny Tots
COLOMA elementary Ballet
COLOMA elementary Hip Hop/ Jazz
OXFORD elementary Tiny tots
OXFORD elementary Ballet
OXFORD elementary Hip Hop/ Jazz
How did you hear about us?
A friend
School Flyer
Paper ad
Mailer
Phone book
Internet search
Drive/walk by
Student regular shoe size:
Dance Session at Coloma Elementary
Wednesdays March 7th - June 6th
Price:
$65.00
Dance Session at Oxford Elementary
Fridays March 9th - June 1st
Price:
$65.00
Two Classes / Coloma Elementary
Wednesdays/ two classes
Price:
$99.00
Two Classes/ Oxford Elementary
Fridays/ two classes
Price:
$99.00
HALF of dance session Oxford
One half/ second half due by April 27th
Price:
$34.50
HALF of dance session Coloma
One half/ second half due by May 2nd
Price:
$34.50
