Winter/Spring 2021: Registration Form

435 N. 10th Street in Lewisburg
Winter/ Spring 2021
Dancer Registration Form
It's our 11th Year!

Classes resume on Monday, February 1, 2021.

Enrollment is open to new & returning students, inquire!
Need a class recommendation? Email Christine at DowntownDancePA@gmail.com or call 570-768-9379.
Registration Packet: Print 2 Waivers!
I have downloaded the registration packet.*

Yes
Today's Date*

MonthDayYear
Child 1's Name*

First NameLast Name
Child 2's Name

First NameLast Name
Child 3's Name

First NameLast Name
Parent's Name*

First NameLast Name
Parent's Primary Email*
example@example.com
Secondary Email*
example@example.com
Would you like us to email both addresses?*

Yes, bothPrimary only
Mom's Cell Number*

Area CodePhone Number
Dad's Cell Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact, Relation, & Cell #*
How did you hear about us?*

Current/Past StudentFrom a FriendFacebookInstagramGoogle SearchLocal PerformanceOther
Child 1's Birthday*

MonthDayYear
Date
Child 2's Birthday

MonthDayYear
Date
Child 3's Birthday

MonthDayYear
Date
Child 1, 2, 3 Age(s) on Aug. 24, 2020*
School
Does the dancer have any medical problems that we should be aware of? If yes, please explain.*
BEFORE MAKING YOUR CLASS SELECTION(S) BELOW-
Read the registration packet so you're familiar with our general information, Covid safety measures, etc.
Absolute Beginner Classes: No Prior Experience Necessary

Wed. Baby Ballet 4:30-5:20pm (Ages 3-4) *New Class*Wed Itty Bitty Ballet/Tap, 5:45-6:45pm (Ages 4-5)Tues Ballet, 4:30-5:30pm (Ages 5-7)Thu Jazz, 4:30-5:30pm (Ages 7-9)Mon Hip Hop Jazz Fusion, 4:30-5:30 (Ages 9-10)
1-Year Prior Style or Comparable Style Experience Necessary

Fri Musical Theater Dance, 5:45-6:45 (Ages 8-11) *3 SpotsMon Hip Hop Jazz Fusion, 7-8pm (Ages 9-12) *3 SpotsWed Jazz, 5:45-6:45pm (Ages 7-9)
Intermediate & Int/Adv. Classes

Tues 7-8pm Tap (Ages 10-12)*Pre-req. "TJL"Thu Hip Hop Jazz Fusion, 5:45-6:45pm (Tween/Teen) * 2 SpotsMon 5:45-6:45pm Hip Hop (Teens)Mon 6:45-8:45pm Jazz/Lyrical/Contemp. (Teens)Fri Musical Theater, 7-8pm (Tweens) *2 Spots
If registering for siblings, please specify which child is taking which class
You're almost done registering!

Upload 2 waivers & make a payment below.

Returning Dancers-
-Registration & Tuition are due upon registration.
-If you are registering for 3 or more classes, you may make two installments. Submit this form with the registration fee, then email DowntownDanceOffice@gmail.com to elect this option.
-If you have an April 2020 credit, submit this online form with the registration fee, then email DowntownDanceOffice@gmail.com.

New Dancers- The registration fee & registration are due before the first class. Tuition payment is due after the first class. If you have decided to discontinue after the first class, please notify us. There may be a wait list for your spot. Thank you! *The registration fee is not refundable.
Upload signed General Liability & Promotional Use Waiver & the Covid Waiver HERE*

Browse Files

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Registration Fee & Class Tuition Payment
prevnext( X )
Child 1's Registration Fee$15.00

Child 2's Registration$15.00

Child 3's Registration$15.00

1 Class$170.00

2nd Class +$108.00

3rd Class +$101.00

4th Class +$94.00

Child 2, 1st Class +$118.00

Child 2, 2nd Class +$108.00

Child 2, 3rd Class +$101.00

Child 3, 1st Class +$118.00

Total $0.00
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